Organization
FAMILY LIFE, LLC
Active
Other names
Family Life
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GRAHAM RICHMOND (OWNER)
(208) 429-1511
Entity
Organization
Contact information
Practice address
422 11TH AVE S, NAMPA, ID 83651-4233
(208) 442-8200
(208) 442-1418
Mailing address
422 11TH AVE S, NAMPA, ID 83651-4233
(208) 442-8200
(208) 442-1418
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
RC-1059
ID
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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