institution
Grand Teton Service Group
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Idaho Falls, Idaho
NPI 1356577019

Grand Teton Service Group is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Idaho Falls, ID. Grand Teton Service Group practices in Idaho Falls, ID. The NPI Number for Grand Teton Service Group is 1356577019 and holds a License No. RHA-313 (Idaho).

The current practice location address for Grand Teton Service Group is 329 Park Ave, Idaho Falls, ID and can be reached out via phone at 208-528-7443 and via fax at 208-528-7321.

Location: 329 Park Ave, Idaho Falls, ID, 83405-0457
institution
Provider Profile Details
NPI Number
1356577019
Provider Name
Grand Teton Service Group
Credential
Provider Entity Type
Organization
Address
329 Park Ave, Idaho Falls, ID, 83405-0457
Phone Number
208-528-7443
Fax Number
208-528-7321
Provider Enumeration Date
06/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0026966 05 ID
institution
Provider Business Practice Location Address Details
Address
329 Park Ave
City
State
Zip
83402-3610
Phone Number
208-528-7443
Fax Number
208-528-7321
person
Provider Business Mailing Address Details
Address
329 Park Ave
City
State
Zip
83402-3610
Phone Number
208-528-7443
Fax Number
208-528-7321
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
RHA-313 (Idaho)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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