1356577019 GRAND TETON SERVICE GROUP
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- GRAND TETON SERVICE GROUP
- Enumeration Date
- June 8, 2009
- Last Update
- June 8, 2009
- Authorized Official
- MS. LISA BOWMAN MASTERS/PSYCHOLOGY
PROGRAM DIRECTOR
Phone: (208) 528-7443
Practice Location
- Address
- 329 PARK AVE
IDAHO FALLS, ID 834023610 - Phone
- (208) 528-7443
- Fax
- (208) 528-7321
Mailing Address
- Address
- PO BOX 50457
IDAHO FALLS, ID 834050457 - Phone
- (208) 528-7443
- Fax
- (208) 528-7321
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | RHA-313 | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026966 | 05 | ID | N/A |
Frequently Asked Questions
What is GRAND TETON SERVICE GROUP's NPI number?
GRAND TETON SERVICE GROUP's NPI number is 1356577019.
Which doctor has NPI number 1356577019?
The doctor with NPI number 1356577019 is GRAND TETON SERVICE GROUP.
What is GRAND TETON SERVICE GROUP's practice address?
GRAND TETON SERVICE GROUP's practice address is 329 PARK AVE, IDAHO FALLS, ID, 834023610.
Which doctor practices at 329 PARK AVE, IDAHO FALLS, ID, 834023610?
GRAND TETON SERVICE GROUP practices at 329 PARK AVE, IDAHO FALLS, ID, 834023610.
What is GRAND TETON SERVICE GROUP's mailing address?
GRAND TETON SERVICE GROUP's mailing address is PO BOX 50457, IDAHO FALLS, ID, 834050457.
What is GRAND TETON SERVICE GROUP's phone number?
GRAND TETON SERVICE GROUP's phone number is (208) 528-7443.
Who is (208) 528-7443?
(208) 528-7443 is the phone number for GRAND TETON SERVICE GROUP.
What is GRAND TETON SERVICE GROUP's specialty?
GRAND TETON SERVICE GROUP's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is GRAND TETON SERVICE GROUP?
GRAND TETON SERVICE GROUP is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is GRAND TETON SERVICE GROUP a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, GRAND TETON SERVICE GROUP is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is GRAND TETON SERVICE GROUP still practicing?
Yes, GRAND TETON SERVICE GROUP is currently practicing.
Is GRAND TETON SERVICE GROUP accepting new patients?
GRAND TETON SERVICE GROUP may be accepting new patients. Please call their office at (208) 528-7443 to inquire about availability.
Is NPI 1356577019 still active?
Yes, NPI 1356577019 is currently active.
Where does GRAND TETON SERVICE GROUP practice?
GRAND TETON SERVICE GROUP practices in IDAHO FALLS, ID.