OrganizationActive
Brace Place Ltd
NPI 1619050440 · Durable Medical Equipment & Medical Supplies · Pocatello, ID
Provider details
- NPI number
- 1619050440
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Dan Desfosses, Owner(208) 234-4579
Specialties & taxonomies
Suppliers
Practice location
1033 W Quinn Rd
Pocatello, ID 83202-2425
Phone: (208) 234-4579
Fax: (208) 233-4887
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2844
Pocatello, ID 83206-2844
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2010-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.