National Provider Identifier Database

JENNDA LLC
Rehabilitation, Substance Use Disorder


Contact Information

JENNDA LLC
4305 N ROYAL ST
COEUR D'ALENE, ID83815-9237
Phone: 208-889-8594
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for JENNDA LLC

NPI Number 1356968895
Legal business name
LBN
JENNDA LLC
Authorized official JENNIFER HAWKINS - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/01/2020
Last updated 07/01/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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