NPI | 1275990269 |
---|---|
Entity Type | Organization |
Authorized Contact | ALIDA TINCH Owner/President 406-871-1946 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MT 58716) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MT 58716) |
347C00000X Private Vehicle (Licence: MT 58716) | |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: MT 58716) | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MT 58716) | |
253Z00000X In Home Supportive Care (Licence: MT 58716) | |
343900000X Non-emergency Medical Transport (VAN) (Licence: MT 58716) | |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-04-01 |