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1164899951
LIFEPATH SUPPORTS INC
BOISE, ID
NPI
1164899951
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Entity Type
Organization
Authorized Contact
TIFFANEY GILES
Payee Provider
208-780-3900
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2015-08-27
Last Update Date
2022-07-21
Business Address
LIFEPATH SUPPORTS INC
10112 W OVERLAND RD
BOISE, ID 83709-1428
Phone number: 208-780-3902
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Mailing Address
LIFEPATH SUPPORTS INC
10112 W OVERLAND RD
BOISE, ID 83709-1428
Phone number: 208-780-3900
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