| NPI | 1467142315 |
|---|---|
| Doing Business As | LIFEHOUSE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | CARLO R OROZCO Sole Member 208-243-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-11-01 |