Cultivation, Llc

NPI 1124466990 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1124466990
Enumeration Date 06/13/2013
Last Updated 06/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DAN DAN
Position OWNER
Phone (208) 640-0861
Fax
Practice Location
211 COEUR D'ALENE AVE STE 102
COEUR D'ALENE ID, 83814, US
Phone (208) 640-0861
Fax
Business Location
211 COEUR D'ALENE AVE STE 102
COEUR D'ALENE ID, 83814, US
Phone (208) 640-0861
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Cultivation, Llc NPI is 1124466990, taxonomy code is 251S00000X Cultivation, Llc physically located at 211 Coeur D'alene Ave Ste 102, Coeur D'alene ID, 83814. NPI Number 1033115704 has the healthcare provider type.

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1124466990 NPI number is provided on an as is basis without warranty of any kind. 1124466990 is maintained by the National Plan & Provider Enumeration System. The contents of Cultivation, Llc are for informational purposes only.