NPI 1346390796

Riverside Service Group INC

Organisation Developmentally Disabled Services Day Training Agency Idaho Falls, ID

Practice location

Address: 461 River Pkwy, Idaho Falls, ID 83402-3314
Phone: (208) 542-4517
Fax: (208) 528-9501
Mailing address: 3925 N Ammon Rd, Idaho Falls, ID 83401-1313

Authorised official

Name: Kathleen Ann Hansen
Title: President Ceo
Phone: (208) 521-6573

Registered specialties (2)

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 805608500 (ID)

Other Day Training, Developmentally Disabled Services providers in Idaho →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X Licence 807612600 (ID)

Other Case Manager/Care Coordinator providers in Idaho →

Registry record

NPI: 1346390796
Entity type: Organization
NPI issued: 10 Jan 2007
Record last updated: 25 Jun 2010

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.