Healthcare Provider Details
I. General information
NPI: 1366133100
Provider Name (Legal Business Name): ATBH ENDEAVORS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2023
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
659 LINCOLN LN
BILLINGS MT
59105-3235
US
IV. Provider business mailing address
3504 FLAGSTONE DR
BILLINGS MT
59102-0331
US
V. Phone/Fax
- Phone: 406-970-0502
- Fax:
- Phone: 406-970-0504
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROWENA
ARNOTT
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 406-970-0504