Organization · NPI-2

Adaptive Care Services

Case Management · Boise, ID

NPI number1528107653
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1528107653
Entity type
Organization (NPI-2)
Legal business name
Adaptive Care Services
Organization subpart
No
Enumeration date
Feb 5, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

797 S Orchard St
Boise, ID 83705-1227

Phone 208-331-1299 · Fax 208-331-1297

Mailing address

797 S Orchard St
Boise, ID 83705-1227

Phone 208-331-1299 · Fax 208-331-1297

Authorized official

Stacey Ann Garza
Co Owner
2083311299

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