MEDICARE: MRS. SARA ANN NESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	373H00000X	Day Training/Habilitation Specialist
2	372600000X	Adult Companion

General Provider Information

NPI Number	:	1104558089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA ANN NESS

Provider Business Mailing Address
First Line	:	1141 MOON VALLEY RD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-2023
Country	:	US
Telephone Number	:	406-672-2361
Fax Number	:

Provider Business Practice Location Address
First Line	:	1141 MOON VALLEY RD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59105-2023
Country	:	US
Telephone Number	:	406-672-2361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	06/28/2022

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