Healthcare Provider Details

I. General information

NPI: 1356977466
Provider Name (Legal Business Name): TANABELL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2020
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2584 E MAGIC VIEW DR
MERIDIAN ID
83646
US

IV. Provider business mailing address

2584 E MAGIC VIEW DR
MERIDIAN ID
83642
US

V. Phone/Fax

Practice location:
  • Phone: 208-506-5130
  • Fax: 208-996-2805
Mailing address:
  • Phone: 208-506-5130
  • Fax: 208-996-2805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: TROY V BELL
Title or Position: PRESIDENT/CEO
Credential:
Phone: 208-221-0481