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1386467637
GSDED IDAHO LLC
BOISE, ID
NPI
1386467637
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Entity Type
Organization
Authorized Contact
MICHAEL HAWKINS
Owner
801-401-3515
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
GSDED IDAHO LLC
1010 S ALLANTE PL STE 102
BOISE, ID 83709-1660
Phone number: 208-938-9681
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Mailing Address
GSDED IDAHO LLC
1010 S ALLANTE PL STE 102
BOISE, ID 83709-1660
Phone number:
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