Organization
HYALITE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY GAZY (OWNER)
(406) 570-3512
Entity
Organization
Contact information
Practice address
6040 S 3RD RD, BOZEMAN, MT 59715-8904
(406) 570-3512
Mailing address
6040 S 3RD RD, BOZEMAN, MT 59715-8904
(406) 570-3512
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1617295
—
MT
Enumeration date
11/08/2022
Last updated
11/08/2022
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