SOUTH PARK, INC. is an intermediate care facility mentally retarded in Pocatello, ID. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SOUTH PARK, INC. NPI is 1205056538. The provider is registered as an organization entity type.
The provider Other Name Is Church Hill Downs Group Home.
The provider's business location address is:
1722 CHURCH HILL DOWNS
POCATELLO, ID
ZIP 83201
Phone: (208) 237-2010
The provider's authorized official is Russell C Mccoy .
The authorized official title is Executive Director and has the following contact phone number (208) 233-6833.
The enumeration date for this NPI number is 4/27/2007 and was last updated on 8/22/2020.