Whalio Doctors

NPI 1154034189

Affirm Human Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Idaho Falls, ID

Practice location

Address
2743 E Iona Rd, Idaho Falls, ID 83401-1343
Phone
(208) 520-2929

Authorised official

Name
Angel L Johnson
Title
Chief Admin Officer
Phone
(208) 520-2929

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1154034189
Entity type
Organization
NPI issued
4 Jan 2023
Record last updated
19 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.