Organization Name: | HEART OF HEALTH, INC |
NPI Number: | 1285815142 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELLEY MAURICE-MAIER (PRESIDENT) |
Mailing Address: | 3200 Nw Underhill Pl Bend |
State: | OR US |
Postal Code: | 977018686 |
Phone Number: | 5413851803 |
Fax Number: | 5032100503 |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 01/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD07348 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |