| NPI | 1124586607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GUMMER Owner 406-871-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |