Organization
ANDRE'S HOUSE
Active
Parent organization
ANDRE'S HOUSE
Other names
AVOT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDRE'S HOUSE
Authorized official
MR. LARRY STANDFIELD JR. (PRESIDENT)
(208) 360-7608
Entity
Organization
Contact information
Practice address
1425 CAMBRIDGE DR, IDAHO FALLS, ID 83401-4209
(208) 538-0610
Mailing address
1425 CAMBRIDGE DR, IDAHO FALLS, ID 83401-4209
(208) 360-4647
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
11/06/2024
Last updated
07/14/2026
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