MEDICARE: CLIENT DEDICATED SERVICES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538708961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLIENT DEDICATED SERVICES, INC

Provider Business Mailing Address
First Line	:	2110 SOUTH AVE W
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-6504
Country	:	US
Telephone Number	:	406-552-7511
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 SOUTH AVE W
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-6504
Country	:	US
Telephone Number	:	406-552-7511
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KELLY REYNOLDS
Credential	:
Telephone Number	:	406-552-7511

Provider Enumeration Date	:	01/02/2020
Last Update Date	:	04/13/2026

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