Seniorlife Therapy Clinic, Inc

LBN: Seniorlife Therapy Clinic, Inc
Seniorlife Therapy Clinic, Inc is an health care organization with primary practice located at 4987 S Wildbrook Way , Boise ID 83709-5279. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Seniorlife Therapy Clinic, Inc can be contacted via phone (208) 841-7457, or through Gragert, Daniel A via phone (208) 841-7457.

Contact Information

Primary practice address
4987 S Wildbrook Way Boise ID 83709-5279
Phone: (208) 841-7457
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gragert, Daniel A
Phone: (208) 841-7457

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1952543803
LBN Legal business name Seniorlife Therapy Clinic, Inc
DBA Doing business as
Authorized official Gragert, Daniel A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2009
Last updated Mar 24th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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