NPI 1265582829

Idaho Falls Group Homes

Organisation Intellectual Disabilities Intermediate Care Facility Idaho Falls, ID

Practice location

Address: 275 Ash St, Idaho Falls, ID 83402-4040
Phone: (208) 523-0053
Fax: (208) 529-3134
Mailing address: PO Box 50457, Idaho Falls, ID 83405

Authorised official

Name: Rex S Redden
Title: Administrator
Phone: (208) 523-0053

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 71 (ID)

Other Intermediate Care Facility, Intellectual Disabilities providers in Idaho →

Registry record

NPI: 1265582829
Entity type: Organization
NPI issued: 12 Jan 2007
Record last updated: 22 Aug 2020

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.