# SUMMIT INDEPENDENT LIVING CENTER INC

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

## Provider details

- **NPI number:** 1235937939
- **Authorized official:** SCOTT D. FELS (FINANCIAL OFFICER)
- **Authorized official phone:** (406) 728-1630

## Contact information

- **Practice address:** 3104 W BROADWAY ST, MISSOULA, MT 59808-1614
- **Practice address phone:** (406) 728-1630
- **Practice address fax:** (406) 829-3309
- **Mailing address:** 3104 W BROADWAY ST, MISSOULA, MT 59808-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 03/06/2025