Organization
HEALING WATERS OF WNY LLC
Active
Other names
Healing Waters
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS HART (OWNER)
(716) 308-1974
Entity
Organization
Contact information
Practice address
542 QUAKER RD, EAST AURORA, NY 14052-2118
(716) 655-3924
Mailing address
542 QUAKER RD, EAST AURORA, NY 14052-2118
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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