Organization
CORNERSTONE WELLNESS AND RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY MANWARING (MANAGING MEMBER)
(208) 317-9912
Entity
Organization
Contact information
Practice address
522 LOMAX ST, IDAHO FALLS, ID 83401-2634
(208) 557-9111
(208) 557-9111
Mailing address
522 LOMAX ST, IDAHO FALLS, ID 83401-2634
(208) 557-9111
(208) 557-9111
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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