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1285400713
ALLEGIANT IDAHO, LLC
NAMPA, ID
NPI
1285400713
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Entity Type
Organization
Authorized Contact
TRACY LOUISE BERRY
Executive Director
208-466-0987
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
ALLEGIANT IDAHO, LLC
210 12TH AVE RD
NAMPA, ID 83686-5013
Phone number: 208-466-0987
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Mailing Address
ALLEGIANT IDAHO, LLC
119 S VALLEY DR # 114
NAMPA, ID 83686-2974
Phone number: 208-466-0987
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