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1750012399
AMBITIONS OF IDAHO, INC
NAMPA, ID
NPI
1750012399
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Entity Type
Organization
Authorized Contact
SHANE HAGEL
President
208-676-9395
Organization Subpart ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
AMBITIONS OF IDAHO, INC
1019 W SANETTA ST
NAMPA, ID 83651-5047
Phone number: 208-505-9076
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Mailing Address
AMBITIONS OF IDAHO, INC
1044 NORTHWEST BLVD STE F
COEUR D ALENE, ID 83814-2165
Phone number: 208-676-9395
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