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Organization
BLAIR LEGACY, LLC
Active
Organization
BLAIR LEGACY, LLC
Active
Other names
Blair Legacy Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA R MONNIER RN (OWNER)
(208) 972-0018
Entity
Organization
Contact information
Practice address
554 N STEELHEAD WAY STE 180, BOISE, ID 83704-8388
(208) 515-6522
Mailing address
554 N STEELHEAD WAY STE 180, BOISE, ID 83704-8388
(208) 515-6522
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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