| Organization Name: | CYCLES OF LIFE HEALTH CARE PLLC |
| NPI Number: | 1003047721 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA J FOORD (PROVIDER/OWNER) |
| Mailing Address: | 1301 N Division Ave Sandpoint |
| State: | ID US |
| Postal Code: | 838648268 |
| Phone Number: | 2083631345 |
| Fax Number: | 2082555531 |
| NPI Enumeration Date: | 07/29/2009 |
| NPI Last Update Date: | 04/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | RPA-156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |