| NPI | 1275504896 |
|---|---|
| Doing Business As | BEACON HOSPITAL & REHABILITATION OF POCATELLO |
| Entity Type | Organization |
| Authorized Contact | CRAE T BERRETT Owner 208-251-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: ID 59) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |