GRAND TETON SERVICE GROUP

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Organization
NPI: 1356577019

Practice Address

329 PARK AVE
Idaho Falls, ID 83402

Phone: (208) 528-7443

Specialties

Specialty Code Primary License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X Yes RHA-313 (ID)

Frequently Asked Questions

NPI 1356577019 is the National Provider Identifier for GRAND TETON SERVICE GROUP, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Idaho Falls, ID. This NPI was enumerated on June 8, 2009.

Quick Facts

NPI
1356577019
Type
Organization
Enumerated
Jun 8, 2009
Last Updated
Jun 8, 2009

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