Idaho Falls Group Homes

NPI 1265582829 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1265582829
Enumeration Date 01/12/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name REX S REX
Position ADMINISTRATOR
Phone (208) 523-0053
Fax (208) 529-3134
Practice Location
275 ASH ST
IDAHO FALLS ID, 83402-4040, US
Phone (208) 523-0053
Fax (208) 529-3134
Business Location
PO BOX 50457
IDAHO FALLS ID, 83405, US
Phone (208) 523-0053
Fax (208) 529-3134
Toxanomy
Taxonomy Code 315P00000X
License State Idaho
License Number 71
Remove 1265582829 NPI Number
 

According to our database, Idaho Falls Group Homes NPI is 1265582829, taxonomy code is 315P00000X and license number is 71, license state is located at Idaho. Idaho Falls Group Homes physically located at 275 Ash St, Idaho Falls ID, 83402-4040. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1265582829 NPI number is provided on an as is basis without warranty of any kind. 1265582829 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Falls Group Homes are for informational purposes only.