SE Id Caregiving LLC

NPI #1730897752 in Pocatello, Idaho

Provider Information

NPI Number: 1730897752
Entity Type: Organization
Organization Name: SE Id Caregiving LLC
Primary Specialty: Adult Companion
Enumeration Date: Nov 8, 2022
Last Updated: Nov 9, 2025

Practice Location

Address: 372 SKYLINE DR
City: Pocatello
State: Idaho
ZIP Code: 83204-4806
Phone: (208) 242-7005

Authorized Official

Name: MONTANA J MARTENS
Title: OWNER
Phone: (208) 240-8559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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