NPI 1871044883

Kool Ridez LLC

Organisation Case Management Agency Caldwell, ID

Practice location

Address: 1803 Ellis Ave., Caldwell, ID 83605
Phone: (208) 880-9981
Mailing address: 1803 Ellis Ave, Caldwell, ID 83605-4810

Authorised official

Name: David Oconnor
Title: Manager
Phone: (208) 880-9981

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 1356792998 (ID)

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Registry record

NPI: 1871044883
Entity type: Organization
NPI issued: 14 Oct 2016
Record last updated: 14 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.