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Organization

METAMORPHOSIS HEALTH, INC

Active
Parent organization
1407638992
Organization subpart
Yes

Provider details

NPI number
Legal business name
1407638992
Authorized official
MRS. CRYSTAL MICHELLE MILLER BS (PRESIDENT /CEO)
(208) 890-6205
Entity
Organization

Contact information

Practice address
10108 W OVERLAND RD STE A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Mailing address
10108 W OVERLAND RD STE A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/14/2023
Last updated
12/14/2023
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