Healthcare Provider Details

I. General information

NPI: 1194687426
Provider Name (Legal Business Name): PAL MEMORY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 MAIN ST SW
RONAN MT
59864-2504
US

IV. Provider business mailing address

829 MAIN ST SW
RONAN MT
59864-2504
US

V. Phone/Fax

Practice location:
  • Phone: 406-676-5510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SARAH DEAVILLE
Title or Position: CEO
Credential:
Phone: 406-515-9502