South Park, Inc
South Park, Inc is an Intellectual Disabilities Intermediate Care Facility 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
2369 Rulon AvePocatello, ID 83201-1881
Phone: (208) 237-5538
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
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 00259790 (ID) |
|---|
Record details
| NPI number | 1295954139 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell McCoy — Executive Director · (208) 233-6833 |
| Other names | Rulon House Group Home |
| NPI enumerated | April 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 415 S Arthur Ave, Pocatello, ID 83204-3303 |
Other providers in Pocatello
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Belmont Management, Inc
6150 S 5th Ave, Pocatello, ID 83204 · (208) 233-4033
-
Belmont Management, Inc
4024 Mountain Loop, Pocatello, ID 83204-4951 · (208) 233-0735
-
South Park, Inc
3875 Bannock Hwy, Pocatello, ID 83204-4405 · (208) 233-6844
-
South Park, Inc
1722 Church Hill Downs, Pocatello, ID 83201 · (208) 237-2010