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Prohealth
Pediatric Skilled Nursing Facility in Pocatello, Idaho
NPI 1063613495

Prohealth is a Pediatric Skilled Nursing Facility based in Pocatello, ID and is specialized in Nursing Care, Pediatric. Prohealth practices in Pocatello, ID. The NPI Number for Prohealth is 1063613495 and holds a License No. (Idaho).

The current practice location address for Prohealth is 936 E Center St, Pocatello, ID and can be reached out via phone at 208-235-6565.

Location: 936 E Center St, Pocatello, ID, 83201-5702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063613495
Provider Name
Prohealth
Credential
Provider Entity Type
Organization
Address
936 E Center St, Pocatello, ID, 83201-5702
Phone Number
208-235-6565
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0027370 05 ID
0027368 05 ID
002737000 05 ID
002736800 05 DE
institution
Provider Business Practice Location Address Details
Address
936 E Center St
City
Pocatello
State
Idaho
Zip
83201-5702
Phone Number
208-235-6565
Fax Number
person
Provider Business Mailing Address Details
Address
936 E Center St
City
Pocatello
State
Idaho
Zip
83201-5702
Phone Number
208-235-6565
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
()
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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person
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