Division Of Veterans Services

NPI 1285624064 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1285624064
Enumeration Date 10/24/2005
Last Updated 01/18/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID DAVID
Position ADMINISTRATOR
Phone (208) 236-6340
Fax (208) 236-6343
Practice Location
1957 ALVIN RICKEN DR
POCATELLO ID, 83201-2727, US
Phone (208) 236-6340
Fax (208) 236-6343
Business Location
1957 ALVIN RICKEN DR
POCATELLO ID, 83201-2727, US
Phone (208) 236-6340
Fax (208) 236-6343
Toxanomy
Taxonomy Code 314000000X
License State Idaho
License Number 92
Remove 1285624064 NPI Number
 

According to our database, Division Of Veterans Services NPI is 1285624064, taxonomy code is 314000000X and license number is 92, license state is located at Idaho. Division Of Veterans Services physically located at 1957 Alvin Ricken Dr, Pocatello ID, 83201-2727. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1285624064 NPI number is provided on an as is basis without warranty of any kind. 1285624064 is maintained by the National Plan & Provider Enumeration System. The contents of Division Of Veterans Services are for informational purposes only.