Lifeline Support Services LLC

NPI #1376334011 in Nampa, Idaho

Provider Information

NPI Number: 1376334011
Entity Type: Organization
Organization Name: Lifeline Support Services LLC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: May 13, 2025
Last Updated: Jun 19, 2025

Practice Location

Address: 16887 NORTH CORNWALLIS WAY
City: Nampa
State: Idaho
ZIP Code: 83687-8257
Phone: (208) 275-9098

Authorized Official

Name: ABDIKADIRS OSMAN, OWNER
Title: OWNER
Phone: (208) 275-9098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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