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South Park, Inc.
Intellectual Disabilities Intermediate Care Facility in Pocatello, Idaho
NPI 1437291044

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 1437291044 and holds a License No. (Idaho).

The current practice location address for South Park, Inc. is 415 S Arthur Ave, Pocatello, ID and can be reached out via phone at 208-233-6833 and via fax at 208-233-6842.

Location: 415 S Arthur Ave, Pocatello, ID, 83204-3303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437291044
Provider Name
South Park, Inc.
Credential
Provider Entity Type
Organization
Address
415 S Arthur Ave, Pocatello, ID, 83204-3303
Phone Number
208-233-6833
Fax Number
208-233-6842
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00259810 05 ID
00259800 05 ID
00259790 05 ID
institution
Provider Business Practice Location Address Details
Address
415 S Arthur Ave
City
Pocatello
State
Idaho
Zip
83204-3303
Phone Number
208-233-6833
Fax Number
208-233-6842
person
Provider Business Mailing Address Details
Address
415 S Arthur Ave
City
Pocatello
State
Idaho
Zip
83204-3303
Phone Number
208-233-6833
Fax Number
208-233-6842
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
15 (Idaho)
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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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