# PEINE METABOLIC WELLNESS CENTER

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

## Provider details

- **NPI number:** 1952746125
- **Authorized official:** DR. ANGELA L HOUSE D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (208) 947-0925

## Contact information

- **Practice address:** 450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
- **Practice address phone:** (208) 947-0925
- **Practice address fax:** (208) 947-0926
- **Mailing address:** 450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
- **Mailing address phone:** (208) 947-0925
- **Mailing address fax:** (208) 947-0926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | O-0370 | ID | Yes |

## Other

- **Enumeration date:** 05/01/2013
- **Last updated:** 05/01/2013