Organization
HEALING SANCTUARY LLC
Active
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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