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Organization

ANGEL WINGS CENTER OF HEALING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BOBETTE R PAGE LCSW (OWNER-MANAGER)
(208) 757-0330
Entity
Organization

Contact information

Practice address
477 SHOUP AVE STE 107B, IDAHO FALLS, ID 83402-3658
(208) 522-1914
(208) 522-1956
Mailing address
477 SHOUP AVE STE 107B, IDAHO FALLS, ID 83402-3658
(208) 522-1914
(208) 522-1956

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-27373
ID

Other

Enumeration date
05/17/2007
Last updated
12/31/2007
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