Individual
BRIAN RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
674 EASTLAND DR, TWIN FALLS, ID 83301-6846
(208) 734-4264
Mailing address
909 BAILEY AVE, FILER, ID 83328-5097
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4203
ID
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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