Healthcare Provider Details

I. General information

NPI: 1215523048
Provider Name (Legal Business Name): QUEENS MAID SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 HUFFMAN AVE
GREAT FALLS MT
59404-3227
US

IV. Provider business mailing address

312 HUFFMAN AVE
GREAT FALLS MT
59404-3227
US

V. Phone/Fax

Practice location:
  • Phone: 406-564-9638
  • Fax: 406-315-3486
Mailing address:
  • Phone: 406-564-9638
  • Fax: 406-315-3486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL ELLEN SPINLER
Title or Position: OWNER
Credential:
Phone: 406-564-9638