Community Wellness Center, Inc

NPI 1083769798 - Nursing Care - 251J00000X

NPI Details
NPI 1083769798
Enumeration Date 01/24/2007
Last Updated 06/26/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CATALINA CATALINA
Position OWNER, MANAGER
Phone (208) 234-7199
Fax (208) 234-8084
Practice Location
1509 N ARTHUR AVE
POCATELLO ID, 83204, US
Phone (208) 234-7199
Fax (208) 234-8084
Business Location
1509 N ARTHUR AVE
POCATELLO ID, 83204, US
Phone (208) 234-7199
Fax (208) 234-8084
Toxanomy
Taxonomy Code 251J00000X
License State Idaho
License Number 8053791
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According to our database, Community Wellness Center, Inc NPI is 1083769798, taxonomy code is 251J00000X and license number is 8053791, license state is located at Idaho. Community Wellness Center, Inc physically located at 1509 N Arthur Ave, Pocatello ID, 83204. NPI Number 1033115704 has the healthcare provider type.

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1083769798 NPI number is provided on an as is basis without warranty of any kind. 1083769798 is maintained by the National Plan & Provider Enumeration System. The contents of Community Wellness Center, Inc are for informational purposes only.