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Organization

BELMONT MANAGEMENT, INC.

Active
Other names
Belmont Care Center - Home #1
Organization subpart
No

Provider details

NPI number
Authorized official
JASON MCARTHUR (CFO)
(503) 362-5235
Entity
Organization

Contact information

Practice address
3625 VAUGHN AVE, POCATELLO, ID 83204-2062
(208) 233-0016
Mailing address
3155 RIVER RD S STE 100, SALEM, OR 97302-9819
(503) 362-5235
(503) 585-3267

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
000681691
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805059100
ID
05
LT046ID
AK
Enumeration date
02/27/2007
Last updated
07/21/2010
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