Caring Edge Op LLC

NPI #1700399359 in Eagle, Idaho

Provider Information

NPI Number: 1700399359
Entity Type: Organization
Organization Name: Caring Edge Op LLC
Primary Specialty: Clinic/Center
Enumeration Date: Nov 6, 2017
Last Updated: Sep 5, 2018

Practice Location

Address: 77 N FISHER PARK WAY
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 473-2717

Authorized Official

Name: CHRISTOPHER LOUGHEED, DPT
Title: PROVIDER/AUTHORIZED OFFICIAL
Phone: (208) 866-9001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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