| Pacific Wellness Llc | |
|
13403 N Government Way Unit 314 Hayden ID 83835-8903 | |
| (208) 261-2028 | |
| Not Available |
| Full Name | Pacific Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13403 N Government Way Unit 314, Hayden, Idaho |
| Authorized Official Name and Position | Robin Happeny (OWNER) |
| Authorized Official Contact | 2082612028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Wellness Llc 13403 N Government Way Unit 314 Hayden ID 83835-8903 Ph: (208) 261-2028 | Pacific Wellness Llc 13403 N Government Way Unit 314 Hayden ID 83835-8903 Ph: (208) 261-2028 |
| NPI Number | 1881204741 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881204741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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