Wildwood L.l.c
NPI #1477904381 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1477904381
- Entity Type
- Organization
- Organization Name
- Wildwood L.l.c
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jun 22, 2016
- Last Updated
- Jun 22, 2016
Practice Location
- Address
- 614 FRENCH POINT DR
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-5964
- Phone
- (760) 885-0700
Authorized Official
- Name
- MS. VICTORIA ROGERS
- Title
- OWNER/OPERATOR
- Phone
- (760) 885-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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