| NPI | 1639559552 |
|---|---|
| Doing Business As | BUENA VISTA PALLIATIVE CARE AND HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-03-15 |