Organization
NORTON & NORTON LLC
Active
Other names
Hillcrest Haven Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PAUL RYAN (ADMINISTRATOR)
(209) 233-1411
Entity
Organization
Contact information
Practice address
1071 RENEE AVE, POCATELLO, ID 83201-2508
(208) 233-1411
(208) 233-1515
Mailing address
1071 RENEE AVE, POCATELLO, ID 83201-2508
(208) 233-1411
(208) 233-1515
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4
ID
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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