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1346078656
MOMBA HOME CARE IDAHO, LLC
BOISE, ID
NPI
1346078656
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Entity Type
Organization
Authorized Contact
ELIEZER AVTZON
Chief Executive Officer
718-902-7022
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-07-26
Last Update Date
2024-12-04
Business Address
MOMBA HOME CARE IDAHO, LLC
950 W BANNOCK ST STE 1100
BOISE, ID 83702-6140
Phone number: 800-553-3495
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Mailing Address
MOMBA HOME CARE IDAHO, LLC
5565 GLENRIDGE CONNECTOR STE 500
SANDY SPRINGS, GA 30342-4796
Phone number: 800-553-3495
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