Organization
LOTUS WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALLIE HENDERSON (PRESIDENT)
(208) 881-4619
Entity
Organization
Contact information
Practice address
4185 E 200 N, RIGBY, ID 83442-5975
(208) 881-4619
Mailing address
4185 E 200 N, RIGBY, ID 83442-5975
(208) 881-4619
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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