# STAYATHOMEHOMECARE

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

## Provider details

- **NPI number:** 1114336633
- **Authorized official:** LISA P KENNEY-OLESON COTA (OWNER/MANAGER)
- **Authorized official phone:** (406) 216-3202

## Contact information

- **Practice address:** 1601 2ND AVE N, SUITE 212, GREAT FALLS, MT 59401-3259
- **Practice address phone:** (406) 216-3202
- **Practice address fax:** (406) 216-3202
- **Mailing address:** 1601 2ND AVE N, SUITE 212, GREAT FALLS, MT 59401-3259
- **Mailing address phone:** (406) 216-3202
- **Mailing address fax:** (406) 216-3202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2014
- **Last updated:** 08/08/2014
