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Organization
GEM STATE MOBILITY
Active
Organization
GEM STATE MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKABELE T MWEMBO (OWNER)
(208) 519-7545
Entity
Organization
Contact information
Practice address
15242 HANKS WAY, CALDWELL, ID 83607-5485
(208) 806-4997
Mailing address
1846 1ST ST STE 150, IDAHO FALLS, ID 83401-4415
(208) 806-4997
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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