NPI | 1477724359 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE MARIE SAMSAL Owner/Secretary Treasurer 406-252-8990 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: MT 10059) |
Enumeration Date | 2008-03-18 |
Last Update Date | 2008-03-18 |