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General NPI Number Information
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NPI Number | 1679902936
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Entity Type | Organization
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Legal Business Name | GABLES HOLDINGS LLC
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2815 HUNTERS LOOP
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City | BLACKFOOT
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State | ID
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Zip | 83221-6206
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Country | US
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Telephone | 208-785-2506
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Fax | 208-785-2507
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Provider Business Mailing Address
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Address Line | PO BOX 26
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City | BLACKFOOT
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State | ID
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Zip | 83221-0026
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Country | US
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Telephone | 208-785-1820
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Fax | 208-785-1824
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MICHAEL ROBBINS
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Credential |
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Telephone | 208-785-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | RC-1061
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | RC-1062
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | RC-1063
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License Number State | ID
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