MOMBA HOME CARE IDAHO, LLC

BOISE, ID
NPI1346078656
Entity TypeOrganization
Authorized ContactELAZAR HUISMAN
Npi Manager
404-418-7484
Organization Subpart ?No
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2024-07-26
Last Update Date2025-05-29
Business Address
MOMBA HOME CARE IDAHO, LLC
950 W BANNOCK ST STE 1100
BOISE, ID 83702-6140
Phone number: 800-553-3495
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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