Organization
HEALING SANCTUARY LLC
Active
Other names
The Healing Sanctuary LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY WATSON (BILLING SUPERVISOR)
(208) 497-0500
Entity
Organization
Contact information
Practice address
187 E 13TH ST, IDAHO FALLS, ID 83404-5305
(208) 497-0500
(208) 497-0505
Mailing address
187 E 13TH ST, IDAHO FALLS, ID 83404-5305
(208) 497-0500
(208) 497-0505
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/30/2016
Last updated
12/19/2023
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