ESSENTIAL LIFE BOISE is a medical specialty clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ESSENTIAL LIFE BOISE NPI is 1841550126. The provider is registered as an organization entity type.
The provider's business location address is:
13125 W PERSIMMON LN
STE 100
BOISE, ID
ZIP 83713-086
Phone: (208) 991-0352
The provider's authorized official is Yvonne Fedewa .
The authorized official title is Owner and has the following contact phone number (208) 991-0352.
The enumeration date for this NPI number is 5/21/2012 and was last updated on 8/27/2012.