Organization
BALANCE & BLOOM HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JU-LIN SIPLE (OFFICE MANAGER)
(406) 250-2930
Entity
Organization
Contact information
Practice address
49611 MOIESE VALLEY RD # B, RONAN, MT 59864-8855
(406) 544-5862
Mailing address
49611 MOIESE VALLEY RD # B, RONAN, MT 59864-8855
(406) 544-5862
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001737859
—
MT
Enumeration date
10/29/2024
Last updated
11/25/2024
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