NPI 1619208709

Safe Haven Health Care LLC

Organisation Psychiatric Hospital Pocatello, ID

Practice location

Address: 1200 Hospital Way, Pocatello, ID 83201-2708
Phone: (208) 233-2570
Fax: (888) 815-8472
Mailing address: 2520 South 5th Ave, Pocatello, ID 83204

Authorised official

Name: Angela Dawn Pasquale
Title: Controller
Phone: (208) 539-0751

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 59 (ID)

Other Psychiatric Hospital providers in Idaho →

Registry record

NPI: 1619208709
Entity type: Organization
NPI issued: 29 Jan 2010
Record last updated: 27 Feb 2017

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.