WEST VALLEY LIFELINE SERVICES
Suppliers at Arlington Ave, Caldwell, ID

License number
Idaho 332B00000X
Category
Suppliers
Type
Customized Equipment
Owner
Name: MR. WAYNE MYRICK
Title: PROGRAM MANAGER
Phone: (208) 455-3754
Address
Address
1717 Arlington Ave, Caldwell, ID 83605
National Provider ID: 1992767800
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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