Organization
INCLUSION SOUTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHANEY (COMPTROLLER)
(208) 888-1758
Entity
Organization
Contact information
Practice address
1411 FALLS AVE E, #205, TWIN FALLS, ID 83301-3455
(208) 736-7117
(208) 736-7663
Mailing address
880 E FRANKLIN RD, #303, MERIDIAN, ID 83642-6099
(208) 888-1758
(208) 895-8001
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8059559
—
ID
Enumeration date
05/11/2007
Last updated
08/22/2020
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