IndividualActive
Bodie Davis
NPI 1811601081 · Case Manager/Care Coordinator · Payette, ID
Provider details
- NPI number
- 1811601081
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
250 S Main St
Payette, ID 83661-2853
Phone: (208) 405-0020
Approximate (ZIP-level) locationGet directions
Mailing address
250 S Main St
Payette, ID 83661-2853
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.