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Contact Information

CULTIVATION, LLC
211 COEUR D'ALENE AVE STE 102
COEUR D'ALENE, ID83814
 Phone: 208-640-0861
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CULTIVATION, LLC

NPI # 1124466990
LBN Legal business name CULTIVATION, LLC
Authorized official DAN HANKS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2013
Last updated 06/13/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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