CORY BRUCE LANGBERG

POST FALLS, ID
NPI1114585163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies171W00000X Contractor
(Licence: ID  RCT47478)
171WH0202X Contractor, Home Modifications
(Licence: ID  RCT47478)
172A00000X Driver
251B00000X Case Management
347C00000X Private Vehicle
Enumeration Date2019-06-04
Last Update Date2019-06-26
Business Address
Mr. CORY BRUCE LANGBERG
5362 W PRAIRIE AVE
POST FALLS, ID 83854-5912
Phone number: 208-786-2470
Mailing Address
Mr. CORY BRUCE LANGBERG
PO BOX 3212
POST FALLS, ID 83877-3212
Phone number: 208-786-2470
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