Yellowstone Care Center, INC.
Intermediate Care Facility, Intellectual Disabilities in Idaho Falls, ID. Organization (NPI-2).
NPI number1164550430
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1164550430
- Entity type
- Organization (NPI-2)
- Legal business name
- Yellowstone Care Center, INC.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 000143822 | ID | Yes |
Other names
- Dba Yellowstone Group Homes - #5 (Other Name)
Practice location
4541 Burke CirIdaho Falls, ID 83406-8235
Phone 208-542-2924
Mailing address
3155 River Rd S Ste 100Salem, OR 97302-9819
Phone 503-362-5235 · Fax 503-585-3267
Authorized official
Jason McArthur
Cfo
5033625235
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All 8 Intellectual Disabilities Intermediate Care Facility providers in Idaho Falls · All 3,646 providers in Idaho Falls
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