Organization
AMBITIONS OF IDAHO INC
Active
Parent organization
AMBITIONS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBITIONS INC
Authorized official
SHANE HAGEL (PRESIDENT)
(208) 676-9385
Entity
Organization
Contact information
Practice address
1044 NORTHWEST BLVD STE F, COEUR D ALENE, ID 83814-2165
(208) 676-9385
Mailing address
1044 NORTHWEST BLVD STE F, COEUR D ALENE, ID 83814-2165
(208) 676-9385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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