Organization
COMMUNITY PCS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K NEBEKER (ADMINISTRATOR)
(208) 524-0685
Entity
Organization
Contact information
Practice address
1680 ELK CREEK DR, IDAHO FALLS, ID 83404-1225
(208) 524-0685
(208) 524-0686
Mailing address
1680 ELK CREEK DR, IDAHO FALLS, ID 83404-1225
(208) 524-0685
(208) 524-0686
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/15/2015
Last updated
11/06/2018
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