South Park, Inc
South Park, Inc is a Nursing Care Agency in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
415 S Arthur AvePocatello, ID 83204-3303
Phone: (208) 233-6833
Fax: (208) 233-6842
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Care Agency (primary) | Taxonomy 251J00000X (ID) |
|---|
Record details
| NPI number | 1194930768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell McCoy — Executive Director · (208) 233-6833 |
| Other names | Developmental Options |
| NPI enumerated | May 14, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 415 S Arthur Ave, Pocatello, ID 83204-3303 |
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