1958

POCATELLO, ID
NPI1013306307
Entity TypeOrganization
Authorized ContactLORAINE POWELL
Registered Nurse
619-838-4593
Organization Subpart ?No
Primary Taxonomy282NR1301X General Acute Care Hospital, Rural
(Licence: CA  728144)
Enumeration Date2015-01-09
Last Update Date2015-01-09
Business Address
1958
730 E CLARK ST #4657
POCATELLO, ID 83205-5401
Phone number: 619-838-4593
Mailing Address
1958
9344 NATIONAL BLVD APT 11
LOS ANGELES, CA 90034-2925
Phone number: 619-838-4593