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NPI 1023523271

NPI 1023523271 : MONTANA HOME HEALTH INC. : HELENA, MT

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General NPI Number Information
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    NPI Number           |    1023523271
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    Entity Type          |    Organization 
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    Legal Business Name  |    MONTANA HOME HEALTH INC. 
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Dates
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    Enumeration Date     |    12/11/2017
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    Last Update Date     |    06/20/2018
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Provider Practice Location Address
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    Address Line         |    705 E 6TH AVE 
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    City                 |    HELENA
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    State                |    MT
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    Zip                  |    59601-4381
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    Country              |    US
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    Telephone            |    406-465-2888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    705 6TH AVE 
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    City                 |    HELENA
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    State                |    MT
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    Zip                  |    59601
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JASON  PETTIT 
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    Credential           |    
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    Telephone            |    406-465-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    MT
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