Healthcare Provider Details

I. General information

NPI: 1730220351
Provider Name (Legal Business Name): HI-LINE HOME PROGRAMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 3RD AVE S
GLASGOW MT
59230-2408
US

IV. Provider business mailing address

605 3RD AVE S
GLASGOW MT
59230-2408
US

V. Phone/Fax

Practice location:
  • Phone: 406-228-9431
  • Fax: 406-228-2984
Mailing address:
  • Phone: 406-228-9431
  • Fax: 406-228-2984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. RICHARD THOMPSON
Title or Position: DIRECTOR
Credential:
Phone: 406-228-9431