# GEM STATE MOBILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043161714
- **Authorized official:** MAKABELE T MWEMBO (OWNER)
- **Authorized official phone:** (208) 519-7545

## Contact information

- **Practice address:** 15242 HANKS WAY, CALDWELL, ID 83607-5485
- **Practice address phone:** (208) 806-4997
- **Mailing address:** 1846 1ST ST STE 150, IDAHO FALLS, ID 83401-4415
- **Mailing address phone:** (208) 806-4997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2026
- **Last updated:** 02/07/2026