Healing Sanctuary LLC

NPI #1346799483 in Idaho Falls, Idaho

Provider Information

NPI Number: 1346799483
Entity Type: Organization
Organization Name: Healing Sanctuary LLC
Primary Specialty: Clinic/Center
Enumeration Date: Sep 30, 2016
Last Updated: Dec 19, 2023

Practice Location

Address: 187 E 13TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-5305
Phone: (208) 497-0500

Authorized Official

Name: BECKY WATSON
Title: BILLING SUPERVISOR
Phone: (208) 497-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center	261Q00000X	Primary

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