Provider Demographics
NPI:1356977466
Name:TANABELL HEALTH SERVICES INC
Entity type:Organization
Organization Name:TANABELL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:V
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-221-0481
Mailing Address - Street 1:2584 E MAGIC VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642
Mailing Address - Country:US
Mailing Address - Phone:208-506-5130
Mailing Address - Fax:208-996-2805
Practice Address - Street 1:2584 E MAGIC VIEW DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646
Practice Address - Country:US
Practice Address - Phone:208-506-5130
Practice Address - Fax:208-996-2805
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TANABELL HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility