Rulon House Group Home

LBN: South Park, Inc.
Rulon House Group Home is an health care organization with primary practice located at 2369 Rulon Ave , Pocatello ID 83201-1881. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. South Park, Inc. can be contacted via phone (208) 237-5538, or through Mccoy, Russell C via phone (208) 233-6833.

Contact Information

Primary practice address
2369 Rulon Ave Pocatello ID 83201-1881
Phone: (208) 237-5538
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Russell C M.A.ED
Phone: (208) 233-6833

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 00259790 Idaho

Profile Details

NPI number 1295954139
LBN Legal business name South Park, Inc.
DBA Doing business as Rulon House Group Home
Authorized official Mccoy, Russell C M.A.ED
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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