Organization
AREA X AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE LOUISE LASALLE RN (DIRECTOR OF IN HOME HEALTH)
(406) 265-5464
Entity
Organization
Contact information
Practice address
2 2ND ST W, HAVRE, MT 59501-3434
(406) 265-5464
(406) 265-3611
Mailing address
2 2ND ST W, HAVRE, MT 59501-3434
(406) 265-5464
(406) 265-3611
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830008
—
MT
Enumeration date
05/07/2007
Last updated
07/22/2008
Update your record
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