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RESTORATION WELLNESS OF IDAHO LLC
3164 E EASTGATE DR
BOISE, ID83716-5637
 Phone: 208-794-4737
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for RESTORATION WELLNESS OF IDAHO LLC

NPI # 1386476380
LBN Legal business name RESTORATION WELLNESS OF IDAHO LLC
Authorized official MELANIE LONG-AZARY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2024
Last updated 08/17/2024 - More than a year 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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