NPI 1679143838

Caitlin M Davis

Practitioner Adult Care Home Facility Pocatello, ID

Practice location

Address: 8401 W Buckskin Rd, Pocatello, ID 83201-9150
Phone: (208) 339-8308

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Idaho →

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1679143838
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2021
Record last updated: 30 Jun 2021

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.