Provider Demographics
NPI:1538802954
Name:CONTINUUM SERVICES LLC
Entity type:Organization
Organization Name:CONTINUUM SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-217-1485
Mailing Address - Street 1:6020 NW 4TH PL STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6059
Mailing Address - Country:US
Mailing Address - Phone:877-217-1485
Mailing Address - Fax:877-217-1486
Practice Address - Street 1:6020 NW 4TH PL STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6059
Practice Address - Country:US
Practice Address - Phone:877-217-1485
Practice Address - Fax:877-217-1486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017582900Medicaid