Pearl Group Homes
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Idaho Falls, ID. Organization (NPI-2).
NPI number1811292915
StatusActive
Last updated in NPPESJan 20, 2011
Details
- NPI
- 1811292915
- Entity type
- Organization (NPI-2)
- Legal business name
- Pearl Group Homes
- Organization subpart
- No
- Enumeration date
- Jan 20, 2011
- Last updated
- Jan 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | RHA-2498 | ID | Yes |
Practice location
1740 E 17th StSuite A
Idaho Falls, ID 83404-6375
Phone 208-346-7500 · Fax 208-346-7501
Mailing address
1740 E 17th StSuite A
Idaho Falls, ID 83404-6375
Phone 208-346-7500 · Fax 208-346-7501
Authorized official
Lisa Bowman
Program Director
2083467500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Idaho Falls, ID
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.