Organization
BELMONT MANAGEMENT, INC.
Active
Other names
Res Hab Direct Care
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
(208) 234-2755
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
251J00000X
Nursing Care Agency
Primary
000681691
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806646200
—
ID
05
—
M8066462
—
ID
Enumeration date
08/12/2010
Last updated
08/12/2010
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