# JACQUELINE EATON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003362526
- **Authorized official:** MS. JACQUELINE EATON LMT (THERAPIST)
- **Authorized official phone:** (406) 261-8002

## Contact information

- **Practice address:** 596 HOLLOW LN, BIGFORK, MT 59911-6325
- **Practice address phone:** (406) 261-8002
- **Mailing address:** 596 HOLLOW LN, BIGFORK, MT 59911-6325
- **Mailing address phone:** (406) 261-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4057 | MT | Yes |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 08/26/2016