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Organization
AMBITIONS OF IDAHO, INC
Active
Organization
AMBITIONS OF IDAHO, INC
Active
Parent organization
AMBITIONS OF IDAHO, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBITIONS OF IDAHO, INC
Authorized official
SHANE HAGEL (PRESIDENT)
(208) 676-9395
Entity
Organization
Contact information
Practice address
1019 W SANETTA ST, NAMPA, ID 83651-5047
(208) 505-9076
(208) 505-9077
Mailing address
1044 NORTHWEST BLVD STE F, COEUR D ALENE, ID 83814-2165
(208) 676-9395
(208) 676-9385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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