West Valley Lifeline Services
NPI #1992767800 in Caldwell, Idaho
Provider Information
- NPI Number
- 1992767800
- Entity Type
- Organization
- Organization Name
- West Valley Lifeline Services
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Apr 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. WAYNE MYRICK
- Title
- PROGRAM MANAGER
- Phone
- (208) 455-3754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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