Caldwell Ventures LLC

NPI #1497882658 in Caldwell, Idaho

Provider Information

NPI Number
1497882658
Entity Type
Organization
Organization Name
Caldwell Ventures LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 27, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
200 W BEECH ST
State
Idaho
ZIP Code
83605-5692
Phone
(208) 459-3335

Authorized Official

Name
MR. GREGORY J VISLOCKY
Title
MANAGING MEMBER
Phone
(360) 735-7155

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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