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Organization

CONTINUUM CARE PROVIDERS OF IDAHO, LLC

Active
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Organization

CONTINUUM CARE PROVIDERS OF IDAHO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA F. TARANTINO (EVP)
(985) 377-2219
Entity
Organization

Contact information

Practice address
2131 S BONITO WAY, MERIDIAN, ID 83642-1659
(208) 202-4700
Mailing address
3905 HEDGCOXE RD UNIT 250249, PLANO, TX 75025-0840
(337) 347-7371

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
09/15/2025
Last updated
09/15/2025
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