NPI 1407695224

Prosper Health LLC

Organisation Substance Use Disorder Rehabilitation Hospital Unit Pocatello, ID

Practice location

Address: 1345 Hiline Rd, Pocatello, ID 83201-2943
Phone: (208) 757-0337
Mailing address: 675 Jefferson Ave # B, Pocatello, ID 83201-3729

Authorised official

Name: Chester Lackey
Title: Owner
Phone: (208) 757-0337

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X

Other Rehabilitation, Substance Use Disorder Unit providers in Idaho →

Registry record

NPI: 1407695224
Entity type: Organization
NPI issued: 21 May 2024
Record last updated: 21 May 2024

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.