Provider Demographics
NPI:1295520591
Name:SEMAHORO
Entity type:Organization
Organization Name:SEMAHORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN DE DIEU
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMAHORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-651-3022
Mailing Address - Street 1:6609 S DONAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-8317
Mailing Address - Country:US
Mailing Address - Phone:701-651-3022
Mailing Address - Fax:701-651-3022
Practice Address - Street 1:6609 S DONAWAY AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8317
Practice Address - Country:US
Practice Address - Phone:701-651-3022
Practice Address - Fax:701-651-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency