Advanced Care Northwest LLC
Private Vehicle in Sandpoint, ID. Organization (NPI-2).
NPI number1679909469
StatusActive
Last updated in NPPESDec 31, 2013
Details
- NPI
- 1679909469
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Care Northwest LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2013
- Last updated
- Dec 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
Practice location
1009 Highway 2Suite E
Sandpoint, ID 83864-2712
Phone 208-263-3225 · Fax 208-946-2942
Mailing address
Po Box 1869Bonners Ferry, ID 83805-1869
Phone 208-263-3225 · Fax 208-946-2942
Authorized official
Amy Nicole Baldwin
Member/Manager
2086103318
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