MEDICARE: SHERRY STOLTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	13421	MT

General Provider Information

NPI Number	:	1598630857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY STOLTZ

Provider Business Mailing Address
First Line	:	2311 DICKINSON ST
Second Line	:
City	:	MILES CITY
State	:	MT
Zip	:	59301-4715
Country	:	US
Telephone Number	:	406-951-4353
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 S STREVELL AVE
Second Line	:
City	:	MILES CITY
State	:	MT
Zip	:	59301-3746
Country	:	US
Telephone Number	:	406-951-4353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “ SHERRY STOLTZ ” Practice Location

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