Organization
NORTHWEST BEC CORP
Active
Other names
Snake River Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REBECCA LOUISE ADAMSON (AR SPECIALIST)
(208) 221-6828
Entity
Organization
Contact information
Practice address
820 SPRAGUE AVE, BUHL, ID 83316-1827
(208) 543-6401
(208) 543-4221
Mailing address
PO BOX 4837, POCATELLO, ID 83205-4837
(208) 637-0999
(208) 637-1195
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
27
ID
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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