Organization
SAFE HAVEN HEALTH CARE LLC
Active
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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