NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1003803024
NORTHWEST BEC CORP DBA BURLEY CARE CENTER
PO BOX 1224
BURLEY
ID
833180830
1770890022
MINI-CASSIA CARE CENTER LLC
275 S 5TH AVE
POCATELLO
ID
832016400
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