| NPI Details | |
|---|---|
| NPI | 1487967592 |
| Enumeration Date | 07/17/2010 |
| Last Updated | 07/17/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | LEANN C LEANN |
| Position | ADMINISTRATOR/OWNER |
| Phone | (406) 219-3241 |
| Fax | |
| Practice Location | |
|---|---|
| 6040 S 3RD RD BOZEMAN MT, 59715-8904, US |
|
| Phone | (406) 219-3241 |
| Fax | |
| Business Location | |
|---|---|
| 6040 S 3RD RD BOZEMAN MT, 59715-8904, US |
|
| Phone | (406) 219-3241 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 310400000X |
| License State | Montana |
| License Number | 12302 |
| Remove 1487967592 NPI Number | |
According to our database, Hyalite Country Care, Llc. NPI is 1487967592, taxonomy code is 310400000X and license number is 12302, license state is located at Montana. Hyalite Country Care, Llc. physically located at 6040 S 3rd Rd, Bozeman MT, 59715-8904. NPI Number 1033115704 has the healthcare provider type.
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1487967592 NPI number is provided on an as is basis without warranty of any kind. 1487967592 is maintained by the National Plan & Provider Enumeration System. The contents of Hyalite Country Care, Llc. are for informational purposes only.
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