Organization
HEALING WATERS WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA K COLD NAT'L BOARD CERTIFIE (PRESIDENT)
(406) 586-5515
Entity
Organization
Contact information
Practice address
1015 W. MENDENHALL, SUITE A-2, BOZEMAN, MT 59715
(406) 586-5515
(406) 586-5515
Mailing address
1015 W. MENDENHALL, SUITE A-2, BOZEMAN, MT 59715
(406) 586-5515
(406) 586-5515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F-GC2013020
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99741
BCBS
—
Enumeration date
02/02/2010
Last updated
02/02/2010
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