Organization
THE JB BENZIE CO. INC
Active
Other names
The Easy Chair Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LEE MILLER (OWNER)
(208) 866-3473
Entity
Organization
Contact information
Practice address
4489 N DRESDEN PL, #104, BOISE, ID 83714-5004
(208) 866-3473
Mailing address
5407 N SAMSON AVE, BOISE, ID 83704-1954
(208) 866-3473
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/14/2010
Last updated
11/14/2010
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