Community Pcs Pllc
NPI #1003202136 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1003202136
- Entity Type
- Organization
- Organization Name
- Community Pcs Pllc
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Apr 15, 2015
- Last Updated
- Nov 6, 2018
Practice Location
- Address
- 1680 ELK CREEK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-1225
- Phone
- (208) 524-0685
Authorized Official
- Name
- RICHARD K NEBEKER
- Title
- ADMINISTRATOR
- Phone
- (208) 524-0685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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