# BLAIR LEGACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blair Legacy Companion Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952940041
- **Authorized official:** SHAYLA R MONNIER RN (OWNER)
- **Authorized official phone:** (208) 972-0018

## Contact information

- **Practice address:** 554 N STEELHEAD WAY STE 180, BOISE, ID 83704-8388
- **Practice address phone:** (208) 515-6522
- **Mailing address:** 554 N STEELHEAD WAY STE 180, BOISE, ID 83704-8388
- **Mailing address phone:** (208) 515-6522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 01/06/2020
- **Last updated:** 01/06/2020