Organization
THE GOTTFRIED HAUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELOROUS MARIE ANDERSON (MAJORITY MEMBER/ADMINISTRATOR)
(406) 458-6159
Entity
Organization
Contact information
Practice address
5611 GEORGIA DR, HELENA, MT 59602-6804
(406) 458-6159
(406) 458-6159
Mailing address
5611 GEORGIA DR, HELENA, MT 59602-6804
(406) 458-6159
(406) 458-6159
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
11292
MT
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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