Organization
SUMMIT INDEPENDENT LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D. FELS (FINANCIAL OFFICER)
(406) 728-1630
Entity
Organization
Contact information
Practice address
3104 W BROADWAY ST, MISSOULA, MT 59808-1614
(406) 728-1630
(406) 829-3309
Mailing address
3104 W BROADWAY ST, MISSOULA, MT 59808-1614
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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