Healthcare Provider Details
I. General information
NPI: 1851256978
Provider Name (Legal Business Name): VALLEY OF PEACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6634 E GARDENIA LN
NAMPA ID
83687-4903
US
IV. Provider business mailing address
6634 E GARDENIA LN
NAMPA ID
83687-4903
US
V. Phone/Fax
- Phone: 208-809-4459
- Fax:
- Phone: 208-809-4459
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LWABOSHI
KABIRIGI
Title or Position: OWNER
Credential:
Phone: 208-809-4459