STATE OF IDAHO

POCATELLO, ID
NPI1902995814
Doing Business AsSOUTHEASTERN DISTRICT HEALTH DEPARTMENT
Entity TypeOrganization
Authorized ContactEDWARD A. MARUGG
District Director
208-233-9080
Organization Subpart ?No
Primary Taxonomy251G00000X Hospice Care, Community Based
(Licence: ID  13-1512)
Enumeration Date2006-10-11
Last Update Date2020-08-22
Business Address
STATE OF IDAHO
1901 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-239-5240
Mailing Address
STATE OF IDAHO
1901 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-239-5240