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Contact Information

SOAR SUPPORTED LIVING
271 N. AVE. D
KUNA, ID83634
 Phone: 986-282-0029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for SOAR SUPPORTED LIVING

NPI Number 1437048758
LBN Legal business name SOAR SUPPORTED LIVING
Authorized official DAVID TOMASELLI - (OPERATOR/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2025
Last updated 07/01/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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