# PROHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285229039
- **Authorized official:** JACQUELYN WHEATLEY (OWNER)
- **Authorized official phone:** (208) 241-1598

## Contact information

- **Practice address:** 808 N 8TH AVE, POCATELLO, ID 83201-5718
- **Practice address phone:** (208) 241-1598
- **Mailing address:** 88 CEDAR HILLS DR, POCATELLO, ID 83204-4400
- **Mailing address phone:** (208) 241-1598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 03/04/2021