Idaho Falls Group Homes
NPI #1265582829 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1265582829
- Entity Type
- Organization
- Organization Name
- Idaho Falls Group Homes
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 275 ASH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-4040
- Phone
- (208) 523-0053
Authorized Official
- Name
- MR. REX S REDDEN
- Title
- ADMINISTRATOR
- Phone
- (208) 523-0053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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