NPI 1780515726
Alisha Moses
Practice location
- Address
- 374 Fairway Dr, Pocatello, ID 83201-2011
- Phone
- (208) 339-1265
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1780515726
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 May 2026
- Record last updated
- 28 May 2026
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.