Organization
WILDWOOD L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA ROGERS (OWNER/OPERATOR)
(760) 885-0700
Entity
Organization
Contact information
Practice address
614 FRENCH POINT DR, BONNERS FERRY, ID 83805-5964
(760) 885-0700
Mailing address
614 FRENCH POINT DR, BONNERS FERRY, ID 83805-5964
(760) 885-0700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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