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Organization

LIFELINE SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIKADIRS OSMAN OWNER (OWNER)
(208) 275-9098
Entity
Organization

Contact information

Practice address
16887 NORTH CORNWALLIS WAY, NAMPA, ID 83687-8257
(208) 275-9098
Mailing address
16887 NORTH CORNWALLIS WAY, NAMPA, ID 83687-8257

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
05/13/2025
Last updated
06/19/2025
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