Grand Teton Service Group
Grand Teton Service Group is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
Practice location Address checks out
329 Park AveIdaho Falls, ID 83402-3610
Phone: (208) 528-7443
Fax: (208) 528-7321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence RHA-313 (ID) |
|---|
Record details
| NPI number | 1356577019 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Bowman — Program Director · (208) 528-7443 |
| NPI enumerated | June 8, 2009 |
| Last updated in NPPES | June 8, 2009 |
| Mailing address | Po Box 50457, Idaho Falls, ID 83405-0457 |
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-
Grand Teton Service Group
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-
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