# THE HEALTH AND WELLNESS SLEEP INSTITUTE OF POCATELLO LLC

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

## Provider details

- **NPI number:** 1285958991
- **Authorized official:** MR. ZAC DAVID RICE (CLINIC MANAGER)
- **Authorized official phone:** (208) 233-9355

## Contact information

- **Practice address:** 1553 E CENTER ST, POCATELLO, ID 83201-4135
- **Practice address phone:** (208) 233-9355
- **Practice address fax:** (208) 233-9300
- **Mailing address:** 1553 E CENTER ST, POCATELLO, ID 83201-4135
- **Mailing address phone:** (208) 233-9355
- **Mailing address fax:** (208) 233-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | ID | Yes |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 07/21/2022