SOUTH PARK, INC.
Nursing in Pocatello, ID

License number
Idaho 00259810
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: RUSSELL C MCCOY M.A.ED
Title: EXECUTIVE DIRECTOR
Phone: (208) 233-6833
Address
Address
1722 Church Hl, Pocatello, ID 83201
National Provider ID: 1205056538
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTH PARK, INC. at bizstanding.com

South Park, Inc

415 S Arthur Ave, Pocatello, ID 83204

Industry:
Apartment Building Operator
Executive Director, Principal:
Russ Mccoy (Executive Director, Principal)

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