Healthcare Provider Details

I. General information

NPI: 1831957232
Provider Name (Legal Business Name): INFINITY CARE AND SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 W OVERLAND RD
BOISE ID
83705-3149
US

IV. Provider business mailing address

2125 W OVERLAND RD
BOISE ID
83705-3149
US

V. Phone/Fax

Practice location:
  • Phone: 208-639-0126
  • Fax:
Mailing address:
  • Phone: 208-639-0126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. OMOBOLANLE MICHAEL - EKPENKHIO
Title or Position: CEO
Credential:
Phone: 208-639-0126