NPI 1497107171

Monte Cache Hibbert

Practitioner Adult Care Home Facility Pocatello, ID

Practice location

Address: 121 N 18th Ave, Pocatello, ID 83201-3345
Phone: (208) 234-7383

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence CFH-4005-SD (ID)

Other Custodial Care Facility providers in Idaho →

Registry record

NPI: 1497107171
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2016
Record last updated: 6 Jul 2016

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.