BODIE LEE DAVIS

PAYETTE, ID
NPI1811601081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-01-11
Last Update Date2023-01-11
Business Address
BODIE LEE DAVIS
250 S MAIN ST
PAYETTE, ID 83661-2853
Phone number: 208-405-0020
Mailing Address
BODIE LEE DAVIS
250 S MAIN ST
PAYETTE, ID 83661-2853
Phone number: