NPI | 1023702099 |
---|---|
Doing Business As | LIFESTYLE HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | JILL K HART Owner 208-476-1995 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-05 |