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Individual

TERRA FISK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1009 3RD AVE N, GREAT FALLS, MT 59401-1507
(406) 452-6400
(406) 452-2250
Mailing address
1009 3RD AVE N, GREAT FALLS, MT 59401-1507
(406) 452-6400
(406) 452-2250

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0000000023
MT
310400000X
Assisted Living Facility
000000023
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001616496
API
MT
05
0001616496
MT
Enumeration date
11/02/2022
Last updated
11/02/2022
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