| Eleanor Health Professional Tx, Pllc | |
|
950 W Bannock St Ste 1100 Boise ID 83702-6140 | |
| (781) 487-1107 | |
| Not Available |
| Full Name | Eleanor Health Professional Tx, Pllc |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 950 W Bannock St Ste 1100, Boise, Idaho |
| Authorized Official Name and Position | Nzinga Ajabu Harrison (OWNER) |
| Authorized Official Contact | 7812306838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Health Professional Tx, Pllc Po Box 386 Portsmouth NH 03802-0386 Ph: (781) 487-1107 | Eleanor Health Professional Tx, Pllc 950 W Bannock St Ste 1100 Boise ID 83702-6140 Ph: (781) 487-1107 |
| NPI Number | 1376334680 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376334680 | NPI | - | NPPES |
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