Healthcare Provider Details

I. General information

NPI: 1447164454
Provider Name (Legal Business Name): JMM INFINITE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W MAIN ST STE 204
BOISE ID
83702-7362
US

IV. Provider business mailing address

100 W MAIN ST STE 204
BOISE ID
83702-7362
US

V. Phone/Fax

Practice location:
  • Phone: 208-724-4262
  • Fax:
Mailing address:
  • Phone: 208-724-4262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIA MCMILLEN
Title or Position: OWNER
Credential: OWNER /AO
Phone: 208-724-4262