Organization
LIVING WATERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DEHAAS (OWNER)
(208) 378-9911
Entity
Organization
Contact information
Practice address
855 S CURTIS RD, BOISE, ID 83705-1810
(208) 378-9911
(208) 378-9911
Mailing address
855 S CURTIS RD, BOISE, ID 83705-1810
(208) 378-9911
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
About Stedi
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