National Provider Identifier Database

CORNERSTONE WELLNESS AND RECOVERY LLC
Rehabilitation, Substance Use Disorder


Contact Information

CORNERSTONE WELLNESS AND RECOVERY LLC
522 LOMAX ST
IDAHO FALLS, ID83401-2634
Phone: 208-557-9111
Fax: 208-557-9111
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for CORNERSTONE WELLNESS AND RECOVERY LLC

NPI Number 1851234975
Legal business name
LBN
CORNERSTONE WELLNESS AND RECOVERY LLC
Authorized official JEREMY MANWARING - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 04/13/2026
Last updated 04/13/2026 - About 2 months 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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