| NPI | 1356089973 |
|---|---|
| Doing Business As | VITAL CARE OF BOISE |
| Entity Type | Organization |
| Authorized Contact | JAMES M. MCNICHOLAS Managing Member 623-670-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-12-07 |