Organization
UMBRELLA INCONTINENCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEAN (OWNER)
(406) 868-3861
Entity
Organization
Contact information
Practice address
1520 N RUSSELL ST APT 83, MISSOULA, MT 59808-2104
(406) 868-3861
Mailing address
1520 N RUSSELL ST APT 83, MISSOULA, MT 59808-2104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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