NPI age
— years
Enumerated 2025-07-09
● Active Type 2 · Organization
Living Waters Llc
Living Waters Llc is 1 of 55 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dehaas
Owner
Last NPPES update
2025-07-09
Source: monthly bulk 2026-05
How this organization compares
Across 55 active clinic/center providers in Idaho.
NPI age
0 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-07Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
855 S Curtis Rd
Boise, ID 837051810
Mailing address
855 S Curtis Rd
Boise, ID 837051810
Authorized official
Amanda Dehaas
Owner
📞 2083789911
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
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