NPI 1376340893

East Idaho Residential Habilitation LLC

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

Practice location

Address: 550 Linden Dr, Idaho Falls, ID 83401-4149
Phone: (208) 360-8102

Authorised official

Name: Karen Faye Tornkvist
Title: Owner
Phone: (208) 360-8102

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Idaho →

Registry record

NPI: 1376340893
Entity type: Organization
NPI issued: 3 Mar 2025
Record last updated: 3 Mar 2025

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.