| NPI | 1881031862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE CADY Accounts Receivable 406-477-4497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MT NUR-RN-LIC 68698) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX 578030) |
| 261Q00000X Clinic/Center (Licence: OK R 0055229) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |