# CRANBERRY BLOSSOM NUTRITION & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184411746
- **Authorized official:** ELIZABETH THIBODEAU DTR, ACE-CHC (OWNER)
- **Authorized official phone:** (907) 240-3267

## Contact information

- **Practice address:** 236 OLD DIVIDE RD, ROUNDUP, MT 59072-6829
- **Practice address phone:** (907) 240-3267
- **Mailing address:** 236 OLD DIVIDE RD, ROUNDUP, MT 59072-6829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 04/24/2025