Prohealth

NPI #1063613495 in Pocatello, Idaho

Provider Information

NPI Number
1063613495
Entity Type
Organization
Organization Name
Prohealth
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
May 31, 2007
Last Updated
Apr 17, 2008

Practice Location

Address
936 E CENTER ST
State
Idaho
ZIP Code
83201-5702
Phone
(208) 235-6565

Authorized Official

Name
MRS. PAMELA ANN SINCLAIR
Title
CNA OFFICE ASSISTANT
Phone
(208) 235-6565

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility - Nursing Care, PediatricNursing Care, Pediatric
Custodial Care Facility - Adult Care HomeAdult Care Home

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