BRACE PLACE LTD NPI 1619050440

NPI Information

BRACE PLACE LTD is a durable medical equipment medical supplies in Pocatello, ID. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BRACE PLACE LTD NPI is 1619050440. The provider is registered as an organization entity type.

The provider's business location address is:

1033 W QUINN RD
POCATELLO, ID
ZIP 83202-425
Phone: (208) 234-4579
Fax: (208) 233-4887

The provider's authorized official is Dan R Desfosses .
The authorized official title is Owner and has the following contact phone number (208) 234-4579.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 3/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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