NPI 1851858963
Real Holdings LLC
Practice location
- Address
- 3400 S 5th W, Idaho Falls, ID 83402-7309
- Phone
- (208) 357-3323
- Fax
- (208) 357-3302
- Mailing address
- 3767 Professional Way, Idaho Falls, ID 83402-7315
Authorised official
- Name
- Michael Blane Robbins
- Title
- Operating Owner
- Phone
- (208) 357-3323
Registered specialties (2)
Assisted Living Facility
Primary
Alzheimer Center (Dementia Center)
Registry record
- NPI
- 1851858963
- Entity type
- Organization
- NPI issued
- 25 Feb 2019
- Record last updated
- 25 Feb 2019
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.