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1558404129
HUMAN SUPPORTS OF IDAHO, INC.
BOISE, ID
NPI
1558404129
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Entity Type
Organization
Authorized Contact
GREGORY L DICKERSON
Administrator
208-321-0160
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2007-02-14
Last Update Date
2012-12-18
Business Address
HUMAN SUPPORTS OF IDAHO, INC.
4477 W EMERALD ST STE C-100
BOISE, ID 83706-2000
Phone number: 208-321-0160
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Mailing Address
HUMAN SUPPORTS OF IDAHO, INC.
PO BOX 820
CALDWELL, ID 83606-0820
Phone number: 208-454-8389
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