# NORTH CENTRAL INDEPENDENT LIVING SERVICES,INC

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

## Provider details

- **NPI number:** 1518337286
- **Authorized official:** TOM OSBORN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (406) 452-9834

## Contact information

- **Practice address:** 1120 25TH AVE, BLACK EAGLE, MT 59414-1037
- **Practice address phone:** (406) 452-9834
- **Practice address fax:** (406) 453-3940
- **Mailing address:** 1120 25TH AVE, BLACK EAGLE, MT 59414-1037
- **Mailing address phone:** (406) 452-9834
- **Mailing address fax:** (406) 453-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | MT | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 01/17/2024