location
search-icon
institution
South Park, Inc.
Intellectual Disabilities Intermediate Care Facility in Pocatello, Idaho
NPI 1134340011

South Park, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Pocatello, ID. South Park, Inc. practices in Pocatello, ID. The NPI Number for South Park, Inc. is 1134340011 and holds a License No. 00259800 (Idaho).

The current practice location address for South Park, Inc. is 3875 Bannock Hwy, Pocatello, ID and can be reached out via phone at 208-233-6844.

Location: 3875 Bannock Hwy, Pocatello, ID, 83204-3303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134340011
Provider Name
South Park, Inc.
Credential
Provider Entity Type
Organization
Address
3875 Bannock Hwy, Pocatello, ID, 83204-3303
Phone Number
208-233-6844
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3875 Bannock Hwy
City
Pocatello
State
Idaho
Zip
83204-4405
Phone Number
208-233-6844
Fax Number
person
Provider Business Mailing Address Details
Address
3875 Bannock Hwy
City
Pocatello
State
Idaho
Zip
83204-4405
Phone Number
208-233-6844
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
00259800 (Idaho)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Pocatello, Idaho:

institution
Belmont Management, Inc.
NPI 1285761148
Intellectual Disabilities Intermediate Care Facility
3625 Vaughn Ave,
POCATELLO, ID
83204-2062
208-233-0016
More
institution
Belmont Management, Inc.
NPI 1922135789
Intellectual Disabilities Intermediate Care Facility
4024 Mountain Loop,
POCATELLO, ID
83204-4951
208-233-0735
More