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Organization

EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN DORR (DIRECTOR OF BILLING & REIMBURSEMENT)
(406) 771-3754
Entity
Organization

Contact information

Practice address
425 1ST AVE N, GREAT FALLS, MT 59401-2507
(406) 771-3680
(406) 761-1390
Mailing address
PO BOX 2509, GREAT FALLS, MT 59403-2509
(406) 761-3680
(406) 761-1390

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
MT
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
631709
MT
05
691470
MT
Enumeration date
02/28/2007
Last updated
12/08/2025
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