Country Home Estate, INC

NPI #1649497926 in Missoula, Montana

Provider Information

NPI Number
1649497926
Entity Type
Organization
Organization Name
Country Home Estate, INC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Apr 19, 2007
Last Updated
Sep 24, 2007

Practice Location

Address
1704 S RESERVE ST
State
Montana
ZIP Code
59801-4752
Phone
(406) 542-1889

Authorized Official

Name
MRS. MARY LYNN NEWMAN
Title
PRESIDENT
Phone
(406) 542-1889

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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