NPI 1659089514
SE Id Caregiving LLC
Practice location
- Address
- 372 Skyline Dr, Pocatello, ID 83204-4806
- Phone
- (208) 417-7627
Authorised official
- Name
- Montana Martens
- Title
- Owner
- Phone
- (208) 240-8559
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1659089514
- Entity type
- Organization
- NPI issued
- 9 Nov 2022
- Record last updated
- 13 Dec 2022
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.