IndividualActive
Brian Lillis
NPI 1477225308 · Home Health Aide · Washington, UT
Provider details
- NPI number
- 1477225308
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12435793 (UT)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
470 E Bulloch St
Washington, UT 84780-1774
Phone: (208) 473-6880
Approximate (ZIP-level) locationGet directions
Mailing address
470 E Bulloch St
Washington, UT 84780-1774
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.