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Belmont Management, Inc.
Intellectual Disabilities Intermediate Care Facility in Pocatello, Idaho
NPI 1285761148

Belmont Management, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Salem, ID. Belmont Management, Inc. practices in Pocatello, ID. The NPI Number for Belmont Management, Inc. is 1285761148 and holds a License No. 000681691 (Idaho).

The current practice location address for Belmont Management, Inc. is 3625 Vaughn Ave, Pocatello, ID and can be reached out via phone at 208-233-0016.

Location: 3625 Vaughn Ave, Pocatello, ID, 97302-9819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285761148
Provider Name
Belmont Management, Inc.
Credential
Provider Entity Type
Organization
Address
3625 Vaughn Ave, Pocatello, ID, 97302-9819
Phone Number
208-233-0016
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805059100 05 ID
LT046ID 05 AK
institution
Provider Business Practice Location Address Details
Address
3625 Vaughn Ave
City
Pocatello
State
Idaho
Zip
83204-2062
Phone Number
208-233-0016
Fax Number
person
Provider Business Mailing Address Details
Address
3625 Vaughn Ave
City
Pocatello
State
Idaho
Zip
83204-2062
Phone Number
208-233-0016
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
000681691 (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.
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institution
Belmont Management, Inc.
NPI 1922135789
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4024 Mountain Loop,
POCATELLO, ID
83204-4951
208-233-0735
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