NPI 1578015921
Jubilation House, LLC
Practice location
- Address
- 165 Constellations Rd, Idaho Falls, ID 83402-4988
- Phone
- (801) 836-6275
- Mailing address
- 3144 Tipperary Ln, Idaho Falls, ID 83404-7323
Authorised official
- Name
- Mark Browning
- Title
- Partner
- Phone
- (801) 836-6275
Registered specialties (3)
Assisted Living Facility
Primary
Assisted Living Facility (Mental Illness)
Assisted Living Facility (Behavioral Disturbances)
Registry record
- NPI
- 1578015921
- Entity type
- Organization
- NPI issued
- 2 Nov 2016
- Record last updated
- 2 Nov 2016
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.