Organization
ADAPTIVE CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GARZA (OWNER)
(208) 331-1299
Entity
Organization
Contact information
Practice address
797 S ORCHARD ST, BOISE, ID 83705-1227
(208) 331-1299
Mailing address
797 S ORCHARD ST, BOISE, ID 83705-1227
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
80430900
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8043090
—
ID
Enumeration date
06/04/2007
Last updated
08/22/2020
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