Yellowstone Care Center, Inc.

NPI 1043348261 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1043348261
Enumeration Date 03/01/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JASON JASON
Position CFO
Phone (208) 542-5378
Fax
Practice Location
3335 SPRINGFIELD CIR
IDAHO FALLS ID, 83404-6801, US
Phone (208) 542-5378
Fax
Business Location
3155 RIVER RD S STE 100
SALEM OR, 97302-9819, US
Phone (503) 362-5235
Fax (503) 585-3267
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
Remove 1043348261 NPI Number
 

According to our database, Yellowstone Care Center, Inc. NPI is 1043348261, taxonomy code is 315P00000X Yellowstone Care Center, Inc. physically located at 3335 Springfield Cir, Idaho Falls ID, 83404-6801. NPI Number 1033115704 has the healthcare provider type.

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1043348261 NPI number is provided on an as is basis without warranty of any kind. 1043348261 is maintained by the National Plan & Provider Enumeration System. The contents of Yellowstone Care Center, Inc. are for informational purposes only.