| NPI | 1144674599 |
|---|---|
| Doing Business As | LIFESTYLE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | JACOB RAYMOND BRYAN Owner 208-522-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |