| Brightview Senior Health | |
|
1983 N Synergy Pl Eagle ID 83616-7332 | |
| (208) 509-8987 | |
| (208) 225-6858 |
| Full Name | Brightview Senior Health |
|---|---|
| Speciality | General Practice |
| Location | 1983 N Synergy Pl, Eagle, Idaho |
| Authorized Official Name and Position | Louise Ye-liew (DO, OWNER) |
| Authorized Official Contact | 2085098987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightview Senior Health 141 N Palmetto Ave Unit 602 Eagle ID 83616-8025 Ph: (208) 509-8987 | Brightview Senior Health 1983 N Synergy Pl Eagle ID 83616-7332 Ph: (208) 509-8987 |
| NPI Number | 1336797042 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336797042 | NPI | - | NPPES |
| 0-1288 | Other | ID | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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