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Ambitions Of Idaho INC

Home Health in Coeur D Alene, ID. Organization (NPI-2).

NPI number1912433152
StatusActive
Last updated in NPPESMay 9, 2017

Details

NPI
1912433152
Entity type
Organization (NPI-2)
Legal business name
Ambitions Of Idaho INC
Organization subpart
Yes
Enumeration date
May 9, 2017
Last updated
May 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165

Phone 208-676-9385

Mailing address

1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165

Phone 208-676-9385

Authorized official

Shane Hagel
President
2086769385

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