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Organization
HEALING WATERS OF WNY LLC
Active
Organization
HEALING WATERS OF WNY LLC
Active
Other names
Healing Waters
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS HART (OWNER)
(716) 308-1974
Entity
Organization
Contact information
Practice address
542 QUAKER RD, EAST AURORA, NY 14052-2118
(716) 655-3924
Mailing address
542 QUAKER RD, EAST AURORA, NY 14052-2118
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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