Organization
PURE VITA CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCY LAWHORN (OWNER)
(208) 639-9488
Entity
Organization
Contact information
Practice address
4775 N SUNDERLAND LN, BOISE, ID 83704-2216
(725) 221-3821
(208) 639-9488
Mailing address
4775 N SUNDERLAND LN, BOISE, ID 83704-2216
(725) 221-3821
(208) 639-9488
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
09/12/2025
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