Organization
PANGEA HEALTH SERVICES LLC
Active
Organization
PANGEA HEALTH SERVICES LLC
Active
Other names
Pangea Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GUMMER (OWNER)
(406) 871-5814
Entity
Organization
Contact information
Practice address
4254 BORDEAUX BLVD, MISSOULA, MT 59808-9686
(406) 871-5814
(406) 214-6334
Mailing address
4254 BORDEAUX BLVD, MISSOULA, MT 59808-9686
(406) 871-5814
(406) 214-6334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553189
—
MT
Enumeration date
03/04/2019
Last updated
03/04/2019
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