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1578316709
ASC IDAHO LLC.
BOISE, ID
NPI
1578316709
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Entity Type
Organization
Authorized Contact
ERIC BRIAN LISKER
Senior Vice Presidetn
949-403-8451
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
ASC IDAHO LLC.
800 W MAIN ST STE 1460
BOISE, ID 83702-5983
Phone number: 208-593-2093
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Mailing Address
ASC IDAHO LLC.
800 W MAIN ST STE 1460
BOISE, ID 83702-5983
Phone number: 208-593-2093
Copy
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