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1912433152
AMBITIONS OF IDAHO INC
COEUR D ALENE, ID
NPI
1912433152
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Entity Type
Organization
Authorized Contact
SHANE HAGEL
President
208-676-9385
Organization Subpart ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-05-09
Last Update Date
2017-05-09
Business Address
AMBITIONS OF IDAHO INC
1044 NORTHWEST BLVD STE F
COEUR D ALENE, ID 83814-2165
Phone number: 208-676-9385
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Mailing Address
AMBITIONS OF IDAHO INC
1044 NORTHWEST BLVD STE F
COEUR D ALENE, ID 83814-2165
Phone number: 208-676-9385
Copy
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