Organization
RAD INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA D BARNETTE (CHIEF EXECUTIVE OFFICE)
(406) 203-2479
Entity
Organization
Contact information
Practice address
41580 WHISPERING PINES DR, RONAN, MT 59864-9337
(406) 203-2479
Mailing address
41580 WHISPERING PINES DR, RONAN, MT 59864-9337
(406) 203-2479
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/09/2024
Last updated
07/17/2024
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