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Organization
BRIGHTVIEW SENIOR HEALTH
Active
Organization
BRIGHTVIEW SENIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE YE-LIEW DO (DO, OWNER)
(208) 509-8987
Entity
Organization
Contact information
Practice address
1983 N SYNERGY PL, EAGLE, ID 83616-7332
(208) 509-8987
(208) 225-6858
Mailing address
141 N PALMETTO AVE UNIT 602, EAGLE, ID 83616-8025
(208) 509-8987
(208) 225-6858
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-1288
STATE LICENSE
ID
Enumeration date
08/27/2019
Last updated
09/09/2019
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