Organization
AXIOM SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSEN AMIRMOJAHEDI (OWNER)
(208) 701-4498
Entity
Organization
Contact information
Practice address
10552 W GARVERDALE CT STE 904, BOISE, ID 83704-5478
(208) 701-4498
Mailing address
10552 W GARVERDALE CT STE 904, BOISE, ID 83704-5478
(208) 701-4498
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/26/2026
Last updated
08/17/2026
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