SHANELL LARAE LLC

BOISE, ID
NPI1629924550
Entity TypeOrganization
Authorized ContactSHANELL LA RAE STALKER
Owner
208-614-8724
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2026-03-04
Last Update Date2026-03-04
Business Address
SHANELL LARAE LLC
1603 W HAYS ST APT 101
BOISE, ID 83702-4065
Phone number: 208-614-8724
Mailing Address
SHANELL LARAE LLC
1603 W HAYS ST APT 101
BOISE, ID 83702-4065
Phone number: 208-614-8724