PREMIER LIFE WELLNESS LLC
Managed Care Organizations at Addison Ave, Twin Falls, ID

License number
Idaho CHIA-754
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: LORAINE M GUMPER DC
Title: OWNER
Phone: (208) 735-2442
Address
Address
1625 Addison Ave E, Twin Falls, ID 83301
National Provider ID: 1952571234
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PREMIER LIFE WELLNESS LLC at bizstanding.com

PREMIER LIFE WELLNESS, LLC

480 Blue Lk Blvd, Twin Falls, ID 83301

Industry:
Health/Allied Services
Registration:
Aug 2, 2007
State ID:
W65302
Business type:
LIMITED LIABILITY COMPANY
Principals:
Loraine M. Gumper (Owner),Lori Gumper (Principal)
Agent:
Dr Lori Gumper,480 Blue Lk Blvd, Twin Falls, ID 83301 (Physical)

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