Organization · NPI-2

Brio Practice Management Idaho LLC

In Home Supportive Care · Idaho Falls, ID

NPI number1730639642
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1730639642
Entity type
Organization (NPI-2)
Legal business name
Brio Practice Management Idaho LLC
Organization subpart
No
Enumeration date
Oct 4, 2016
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

120 N Woodruff Ave
Idaho Falls, ID 83401-4335

Phone 208-538-2223 · Fax 208-538-2241

Mailing address

120 N Woodruff Ave
Idaho Falls, ID 83401-4335

Phone 208-538-2223 · Fax 208-538-2241

Authorized official

Brandon Taylor
Owner/Administrator
8013614381

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