Organization
LEYLINE ADVOCATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BRADFORD DANIELS (MANAGER)
(208) 344-9797
Entity
Organization
Contact information
Practice address
290 W BOBWHITE CT STE 300, BOISE, ID 83706-6653
(208) 344-9797
(208) 344-9898
Mailing address
290 W BOBWHITE CT STE 300, BOISE, ID 83706-6653
(208) 344-9797
(208) 344-9898
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
807195700
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807195700
—
ID
Enumeration date
02/22/2007
Last updated
04/27/2012
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