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Organization

SAFE HAVEN HEALTH CARE LLC

Active
Other names
Safe Haven Hospital of Pocatello
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA DAWN PASQUALE (CONTROLLER)
(208) 539-0751
Entity
Organization

Contact information

Practice address
1200 HOSPITAL WAY, POCATELLO, ID 83201-2708
(208) 233-2570
(888) 815-8472
Mailing address
2520 SOUTH 5TH AVE, POCATELLO, ID 83204
(800) 261-2443
(888) 222-6504

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
59
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619208709
ID
Enumeration date
01/29/2010
Last updated
02/27/2017
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