Organization · Type 2 NPI
Grand Teton Service Group
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Idaho Falls, ID
Practice location
329 Park Ave
Idaho Falls, ID 83402-3610
Fax (208) 529-3134
Mailing address
PO Box 50457
Idaho Falls, ID 83405-0457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 806915000 (ID) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
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- Pearl Group HomesIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Idaho Falls, ID NPI 1760783153
About NPI 1578724910
Grand Teton Service Group's National Provider Identifier is 1578724910, issued on Jun 18, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 18, 2008.