Organization · Type 2 NPI

Grand Teton Service Group

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Idaho Falls, ID

NPI number 1548496201 Active

Practice location

329 Park Ave
Idaho Falls, ID 83402-3610

Call (208) 528-7443 Map

Fax (208) 528-7321

Mailing address

PO Box 50457
Idaho Falls, ID 83405-0457

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	RHA-313 (ID)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

2 other providers at this address

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About NPI 1548496201

Grand Teton Service Group's National Provider Identifier is 1548496201, issued on Jun 8, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 8, 2009.