Organization
NEW LIFE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY DEAN KILDOW (OWNER)
(208) 789-7391
Entity
Organization
Contact information
Practice address
127 E MAIN ST, 113, EMMETT, ID 83617-2931
(208) 789-7391
(208) 498-4405
Mailing address
127 E MAIN ST, 113, EMMETT, ID 83617-2931
(208) 789-7391
(208) 498-4405
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
ID
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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