| East Idaho Youth Homes Llc Dda | |
|
983 Curlew Dr Ammon ID 83406-4706 | |
| (208) 881-9100 | |
| Not Available |
| Full Name | East Idaho Youth Homes Llc Dda |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 983 Curlew Dr, Ammon, Idaho |
| Authorized Official Name and Position | Karen Faye Tornkvist (CHIEF ADMINISTRATOR) |
| Authorized Official Contact | 2083608102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Idaho Youth Homes Llc Dda 550 Linden Dr Idaho Falls ID 83401-4149 Ph: (208) 360-8102 | East Idaho Youth Homes Llc Dda 983 Curlew Dr Ammon ID 83406-4706 Ph: (208) 881-9100 |
| NPI Number | 1316648546 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316648546 | NPI | - | NPPES |
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