Idaho Falls Group Homes

NPI #1235333576 in Ammon, Idaho

Provider Information

NPI Number: 1235333576
Entity Type: Organization
Organization Name: Idaho Falls Group Homes
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jun 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4360 WANDA ST
City: Ammon
State: Idaho
ZIP Code: 83406-6878
Phone: (208) 522-4614

Authorized Official

Name: MR. REX REDDEN
Title: ADMINISTRATOR
Phone: (208) 523-0053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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