Organization · Type 2 NPI
Idaho Falls Group Homes
Intellectual Disabilities Intermediate Care Facility · Ammon, ID
NPI number
1235333576
Active
Practice location
4360 Wanda St
Ammon, ID 83406-6878
Mailing address
PO Box 50457
Idaho Falls, ID 83405-0457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 29 (ID) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1235333576
Idaho Falls Group Homes's National Provider Identifier is 1235333576, issued on Jun 12, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ammon, ID. The record was last updated on Aug 22, 2020.