Healthcare Provider Details

I. General information

NPI: 1194893115
Provider Name (Legal Business Name): COMMUNITY OPTION RESOURCE ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S 24TH ST
BILLINGS MT
59101-4321
US

IV. Provider business mailing address

200 S 24TH ST
BILLINGS MT
59101-4321
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-9115
  • Fax: 406-245-0606
Mailing address:
  • Phone: 406-248-9115
  • Fax: 406-245-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateMT

VIII. Authorized Official

Name: MR. TONY F. CLINE
Title or Position: CEO
Credential:
Phone: 406-248-9115