| 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 |