MONTE CACHE HIBBERT
Adult Care Home
Pocatello, Idaho
Provider NPI: 1497107171
Provider Information:MONTE CACHE HIBBERT
Practice Location:
121 N 18TH AVE POCATELLO, ID 83201 US
Tel: 208-234-7383 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | ID | CFH-4005-SD |