Provider Demographics
NPI:1679630453
Name:A FOUNDATION FOR HEALTH & HEALING PC
Entity Type:Organization
Organization Name:A FOUNDATION FOR HEALTH & HEALING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAINE
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:509-270-1234
Mailing Address - Street 1:4519 E 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99213
Mailing Address - Country:US
Mailing Address - Phone:509-270-1234
Mailing Address - Fax:509-448-3933
Practice Address - Street 1:3430 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223
Practice Address - Country:US
Practice Address - Phone:509-270-1234
Practice Address - Fax:509-448-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty