| NPI | 1720006232 |
|---|---|
| Doing Business As | DIVERSIFIED INFUSIONCARE SOLUTION VITAL CARE |
| Entity Type | Organization |
| Authorized Contact | STAN HAMILTON President 662-320-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MS 04633/02.1) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |