PEAK MEDICAL OF IDAHO, INC.
Nursing at Channing Way, Idaho Falls, ID

License number
Idaho 53
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: WILLIAM A. MATHIES
Title: PRESIDENT DIRECTOR
Phone: (505) 821-3355
Address
Address 2
3111 Channing Way, Idaho Falls, ID 83404
101 Sun Ave NE DEPARTMENT COMPLIANCE, Albuquerque, NM 87109
National Provider ID: 1851345417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PEAK MEDICAL OF IDAHO, INC. at bizstanding.com

PEAK MEDICAL OF IDAHO, INC

Albuquerque, NM  -  Santa Fe, NM

Status:
Inactive
Registration:
Jun 30, 1998
Addresses:
PO Box 94060, Albuquerque, NM 87199 (Mailing)
125 Lincoln Ave SUITE 223  , Santa Fe, NM 87501 (Mailing)
State ID:
1942853
Business type:
Foreign Profit
Entity State:
DE
Secretarys:
Charles H Gonzales (President),Kenneth L. Morgan (Vice President),Kennthe L. Morgan (Secretary)
Agent:
Corporation Service Company,125 Lincoln Ave SUITE 223, Santa Fe, NM 87501 (Physical)

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