Willard House INC

NPI #1346864857 in Pocatello, Idaho

Provider Information

NPI Number: 1346864857
Entity Type: Organization
Organization Name: Willard House INC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jun 1, 2020
Last Updated: Jun 1, 2020

Practice Location

Address: 520 WILLARD AVE
City: Pocatello
State: Idaho
ZIP Code: 83201-4537
Phone: (208) 339-6565

Authorized Official

Name: JENNIFER MILES, LCSW
Title: OWNER
Phone: (208) 339-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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