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Lifepath Supports Inc — NPI 1164899951, Boise, ID | NPI Central

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NPI 1164899951

OrganizationActive

Lifepath Supports Inc

NPI 1164899951 · Clinic/Center · Boise, ID

Provider details

NPI number: 1164899951
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Tiffaney Giles, Payee Provider(208) 780-3900

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Practice location

10112 W Overland Rd

Boise, ID 83709-1428

Phone: (208) 780-3902

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

10112 W Overland Rd

Boise, ID 83709-1428

Registry dates

Enumerated: 2015-08-27
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.