South Bannock Groupl Home
SOUTH BANNOCK GROUPL HOME official legal name SOUTH PARK, INC. is located at 3875 BANNOCK HWY, Pocatello, Idaho. SOUTH BANNOCK GROUPL HOME primary taxonomy is Intermediate Care Facility, Mentally Retarded in the state of Idaho.
| Organization Legal Name | SOUTH PARK, INC. |
| Organization Other Name | SOUTH BANNOCK GROUPL HOME |
| NPI | 1134340011 |
| City | Pocatello |
| State | Idaho |
| Address 1 | 3875 BANNOCK HWY |
| Postal Code | 83204 |
| Phone | 2082336844 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|
| 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mentally Retarded |