Organization
CHAROLAIS CARE II, INC
Active
Organization
CHAROLAIS CARE II, INC
Active
Other names
Valley South Hospital for Geriatric Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
CARLEEN WELLARD (ADMINISTRATIVE ASSISTANT)
(208) 221-2019
Entity
Organization
Contact information
Practice address
500 POLK ST E, KIMBERLY, ID 83341-1618
(208) 423-5591
Mailing address
110 N 800 E, JEROME, ID 83338-5724
(208) 904-4030
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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