NPI 1760783153

Pearl Group Homes

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

Practice location

Address: 1740 E 17th St Suite a, Idaho Falls, ID 83404-6375
Phone: (208) 346-7500
Fax: (208) 346-7501

Authorised official

Name: Lisa C Bowman
Title: Program Director
Phone: (208) 346-7500

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1760783153
Entity type: Organization
NPI issued: 16 Nov 2010
Record last updated: 16 Nov 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.