NPI 1063613495

Prohealth

Organisation Adult Care Home Facility Pocatello, ID

Practice location

Address: 936 E Center St, Pocatello, ID 83201-5702
Phone: (208) 235-6565

Authorised official

Name: Pamela Ann Sinclair
Title: Cna Office Assistant
Phone: (208) 235-6565

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Idaho →

Pediatric Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 3140N1450X

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1063613495
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 17 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.