Organization
MISSOULA AREA AGENCY ON AGING
Active
Other names
Missoula Aging Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FRASER (ACCOUNTANT)
(406) 728-7682
Entity
Organization
Contact information
Practice address
337 STEPHENS AVE, MISSOULA, MT 59801-3816
(406) 728-7682
(406) 728-7687
Mailing address
337 STEPHENS AVE, MISSOULA, MT 59801-3816
(406) 728-7682
(406) 728-7687
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0840004
—
MT
05
—
0840034
—
MT
Enumeration date
03/02/2007
Last updated
08/22/2020
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