Organization
EAST IDAHO RESIDENTIAL HABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN FAYE TORNKVIST (OWNER)
(208) 360-8102
Entity
Organization
Contact information
Practice address
550 LINDEN DR, IDAHO FALLS, ID 83401-4149
(208) 360-8102
Mailing address
550 LINDEN DR, IDAHO FALLS, ID 83401-4149
(208) 360-8102
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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