Organization
STAYATHOMEHOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA P KENNEY-OLESON COTA (OWNER/MANAGER)
(406) 216-3202
Entity
Organization
Contact information
Practice address
1601 2ND AVE N, SUITE 212, GREAT FALLS, MT 59401-3259
(406) 216-3202
(406) 216-3202
Mailing address
1601 2ND AVE N, SUITE 212, GREAT FALLS, MT 59401-3259
(406) 216-3202
(406) 216-3202
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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