Organization
LIFE'S CHOICES, INC
Active
Other names
Life's Doors Lifeline
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L LANGENFELD RN, MS, MBA, PHD (CEO)
(208) 344-9228
Entity
Organization
Contact information
Practice address
420 S ORCHARD ST, BOISE, ID 83705-1238
(208) 344-9228
(208) 336-7516
Mailing address
PO BOX 5754, BOISE, ID 83705-0754
(208) 344-9228
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807998100
—
ID
Enumeration date
04/22/2008
Last updated
04/22/2008
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