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Idaho Falls Group Homes
Intellectual Disabilities Intermediate Care Facility in Ammon, Idaho
NPI 1235333576

Idaho Falls Group Homes is a Intellectual Disabilities Intermediate Care Facility based in Idaho Falls, ID. Idaho Falls Group Homes practices in Ammon, ID. The NPI Number for Idaho Falls Group Homes is 1235333576 and holds a License No. 29 (Idaho).

The current practice location address for Idaho Falls Group Homes is 4360 Wanda St, Ammon, ID and can be reached out via phone at 208-522-4614.

Location: 4360 Wanda St, Ammon, ID, 83405-0457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235333576
Provider Name
Idaho Falls Group Homes
Credential
Provider Entity Type
Organization
Address
4360 Wanda St, Ammon, ID, 83405-0457
Phone Number
208-522-4614
Fax Number
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4360 Wanda St
City
Ammon
State
Idaho
Zip
83406-6878
Phone Number
208-522-4614
Fax Number
person
Provider Business Mailing Address Details
Address
4360 Wanda St
City
Ammon
State
Idaho
Zip
83406-6878
Phone Number
208-522-4614
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
29 (Idaho)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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