Provider Demographics
NPI:1669617452
Name:STYLISH HOMES LLC
Entity type:Organization
Organization Name:STYLISH HOMES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:THIBADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:NAHB CAPS CERTIFIED
Authorized Official - Phone:208-761-2545
Mailing Address - Street 1:5290 W CHINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83714-1457
Mailing Address - Country:US
Mailing Address - Phone:208-853-6458
Mailing Address - Fax:208-445-0787
Practice Address - Street 1:5290 W CHINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83714-1457
Practice Address - Country:US
Practice Address - Phone:208-853-6458
Practice Address - Fax:208-445-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDRCE-567332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies