NPI 1285229039

Prohealth

Organisation Adult Care Home Facility Pocatello, ID

Practice location

Address: 808 N 8th Ave, Pocatello, ID 83201-5718
Phone: (208) 241-1598
Mailing address: 88 Cedar Hills Dr, Pocatello, ID 83204-4400

Authorised official

Name: Jacquelyn Wheatley
Title: Owner
Phone: (208) 241-1598

Registered specialties (4)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Attendant Care Provider

Nursing Service Related Providers Taxonomy 3747A0650X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1285229039
Entity type: Organization
NPI issued: 3 Mar 2021
Record last updated: 4 Mar 2021

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.