Kool Ridez LLC

NPI #1871044883 in Caldwell, Idaho

Provider Information

NPI Number: 1871044883
Entity Type: Organization
Organization Name: Kool Ridez LLC
Primary Specialty: Case Management
Enumeration Date: Oct 14, 2016
Last Updated: Oct 14, 2016

Practice Location

Address: 1803 ELLIS AVE.
City: Caldwell
State: Idaho
ZIP Code: 83605
Phone: (208) 880-9981

Authorized Official

Name: DAVID OCONNOR
Title: MANAGER
Phone: (208) 880-9981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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