Whalio Doctors

NPI 1578015921

Jubilation House, LLC

Organisation Assisted Living Facility Idaho Falls, ID

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
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RC-1125 (ID)
Assisted Living Facility (Mental Illness)
Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence RC-1125 (ID)
Assisted Living Facility (Behavioral Disturbances)
Nursing & Custodial Care Facilities Taxonomy 3104A0630X Licence RC-1125 (ID)

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.