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Organization

AVALON CERTIFIED FAMILY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BOBBIE D SPENCER RN (OWNER)
(208) 899-1544
Entity
Organization

Contact information

Practice address
2302 S WILDRYE WAY, NAMPA, ID 83686-4920
(208) 899-1544
(208) 544-4030
Mailing address
2302 S WILDRYE WAY, NAMPA, ID 83686-4920
(208) 899-1544
(208) 544-4030

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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