BEAR LAKE HOSPITAL HOME HEALTH

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

137069

Ownership Type:

Government - State/County

Date Certified:

12-14-1993

Address:

164 SOUTH 5TH STREET

City, State, Zip:

MONTPELIER , ID 83254

County:

BEAR LAKE

Country:

Phone:

2088474453

Fax:

General Email:

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