Organization
AMBITIONS OF IDAHO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MORRIS (DIRECTOR OF OPERATIONS)
(208) 676-9395
Entity
Organization
Contact information
Practice address
1044 NORTHWEST BLVD., SUITE F, COEUR D'ALENE, ID 83814
(208) 676-9395
(208) 676-9385
Mailing address
1044 NORTHWEST BLVD., SUITE F, COEUR D'ALENE, ID 83814
(208) 676-9395
(208) 676-9385
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RHA-228
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8079051
—
ID
Enumeration date
04/29/2014
Last updated
04/29/2014
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