Pearl Group Homes
NPI #1811292915 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1811292915
- Entity Type
- Organization
- Organization Name
- Pearl Group Homes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 20, 2011
- Last Updated
- Jan 20, 2011
Practice Location
- Address
- 1740 E 17TH ST
- Address 2
- SUITE A
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6375
- Phone
- (208) 346-7500
Authorized Official
- Name
- LISA BOWMAN, M.S.
- Title
- PROGRAM DIRECTOR
- Phone
- (208) 346-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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