Organization
KISMET BZN, LLC
Active
Other names
WEL-Home Health of Bozeman
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
205 N TRACY AVE, BOZEMAN, MT 59715-3564
(406) 587-8710
Mailing address
205 N TRACY AVE, BOZEMAN, MT 59715-3564
(406) 587-8710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/18/2005
Last updated
03/18/2019
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