Gem Prep: Pocatello, Inc.

NPI #1013431816 in Pocatello, Idaho

Provider Information

NPI Number: 1013431816
Entity Type: Organization
Organization Name: Gem Prep: Pocatello, Inc.
Primary Specialty: Case Management
Enumeration Date: Aug 2, 2017
Last Updated: Aug 2, 2017

Practice Location

Address: 1451 JESSIE CLARK LN
City: Pocatello
State: Idaho
ZIP Code: 83202-2787
Phone: (208) 877-1513

Authorized Official

Name: BARB FEMREITE
Title: CFO
Phone: (208) 877-1513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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