STATE OF IDAHO

Hospice Care, Community Based

Active Organization
NPI: 1902995814

Practice Address

1901 ALVIN RICKEN DR
Pocatello, ID 83201

Phone: (208) 239-5240

Specialties

Specialty Code Primary License
Hospice Care, Community Based 251G00000X Yes 13-1512 (ID)

Frequently Asked Questions

NPI 1902995814 is the National Provider Identifier for STATE OF IDAHO, a Hospice Care, Community Based provider located in Pocatello, ID. This NPI was enumerated on October 11, 2006.

Quick Facts

NPI
1902995814
Type
Organization
Enumerated
Oct 11, 2006
Last Updated
Aug 22, 2020

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