# CARBON COUNTY SENIOR CARE, LLC

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

## Provider details

- **NPI number:** 1760977706
- **Authorized official:** JODY ACKERMAN (CEO)
- **Authorized official phone:** (406) 425-0707

## Contact information

- **Practice address:** 4 BIGHORN LN., RED LODGE, MT 59068
- **Practice address phone:** (406) 425-0702
- **Mailing address:** PO BOX 1984, RED LODGE, MT 59068-1984
- **Mailing address phone:** (406) 425-0702

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2018
- **Last updated:** 06/22/2018