Organization
GOLD CARRIAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN KISER (OWNER)
(208) 353-3723
Entity
Organization
Contact information
Practice address
104 E FAIRVIEW AVE, 289, MERIDIAN, ID 83642-1733
(208) 353-3723
Mailing address
104 E FAIRVIEW AVE, 289, MERIDIAN, ID 83642-1733
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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