Idaho Falls Group Homes
Intermediate Care Facility, Intellectual Disabilities in Idaho Falls, ID. Organization (NPI-2).
NPI number1265582829
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1265582829
- Entity type
- Organization (NPI-2)
- Legal business name
- Idaho Falls Group Homes
- Organization subpart
- No
- Enumeration date
- Jan 12, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 71 | ID | Yes |
Practice location
275 Ash StIdaho Falls, ID 83402-4040
Phone 208-523-0053 · Fax 208-529-3134
Mailing address
Po Box 50457Idaho Falls, ID 83405
Phone 208-523-0053 · Fax 208-529-3134
Authorized official
Rex S Redden
Administrator
2085230053
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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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