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PROHEALTH

Nursing Care, Pediatric

Pocatello, Idaho

Provider NPI: 1063613495

Organization Information:
Organization Name:  PROHEALTH


Practice Location:
936 E CENTER ST  POCATELLO, ID 83201 US
Tel: 208-235-6565  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3140N1450XNursing & Custodial Care Facilities
Skilled Nursing Facility
Nursing Care, Pediatric
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility

Other Provider Identifiers:

IssuerNumberStateType
0027370ID05
002736800DE05
0027368ID05
002737000ID05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PEDIATRIC NURSING JOBS ID - Page 1



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