Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Teton Service Group

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1578724910

Grand Teton Service Group is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008

Practice location Address checks out

329 Park Ave
Idaho Falls, ID 83402-3610
Phone: (208) 528-7443
Fax: (208) 529-3134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 806915000 (ID)

Record details

NPI number1578724910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Bowman — Program Director · (208) 528-7443
NPI enumeratedJune 18, 2008
Last updated in NPPESJune 18, 2008
Mailing addressPo Box 50457, Idaho Falls, ID 83405-0457

Other providers in Idaho Falls