MONTE CACHE HIBBERT

POCATELLO, ID
NPI1497107171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: ID  CFH-4005-SD)
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
-- MONTE CACHE HIBBERT
121 N 18TH AVE
POCATELLO, ID 83201-3345
Phone number: 208-234-7383
Mailing Address
-- MONTE CACHE HIBBERT
121 N 18TH AVE
POCATELLO, ID 83201-3345
Phone number: 208-234-7383
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