East Idaho Residential Habilitation LLC
NPI #1376340893 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1376340893
- Entity Type
- Organization
- Organization Name
- East Idaho Residential Habilitation LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 3, 2025
- Last Updated
- Mar 3, 2025
Practice Location
- Address
- 550 LINDEN DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4149
- Phone
- (208) 360-8102
Authorized Official
- Name
- KAREN FAYE TORNKVIST
- Title
- OWNER
- Phone
- (208) 360-8102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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