NPI 1811292915

Pearl Group Homes

Organisation Intellectual and/or Developmental Disabilities 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 Bowman
Title: Program Director
Phone: (208) 346-7500

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence RHA-2498 (ID)

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

Registry record

NPI: 1811292915
Entity type: Organization
NPI issued: 20 Jan 2011
Record last updated: 20 Jan 2011

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.