BEVERLY PAIGE BENNION
Individual Provider (NPI-1)
Active
Homemaker
Provider Information
- NPI Number
1144470493- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4980 W STATE ST STE A, BOISE, ID, 837033326
- Phone
- (208) 639-1649
- Fax
- (208) 639-0813
Specialties & Taxonomies
Chore Provider
Adult Companion
License: ID
Technician, Personal Care Attendant
License: ID
Homemaker
Primary License: ID