Organization
IDAHO TRANSITION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTN PITT (OWNER)
(208) 412-8820
Entity
Organization
Contact information
Practice address
2217 W BOULDER BAR DR, MERIDIAN, ID 83646-5949
(208) 412-8820
Mailing address
6700 N LINDER RD STE 156 #158, MERIDIAN, ID 83646-6608
(208) 412-8820
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/22/2017
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