Provider Demographics
NPI:1255878088
Name:SOUTHWESTERN MONTANA HOME CARE
Entity type:Organization
Organization Name:SOUTHWESTERN MONTANA HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:
Authorized Official - Last Name:RABATIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-577-2399
Mailing Address - Street 1:601 NIKLES DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2570
Mailing Address - Country:US
Mailing Address - Phone:406-577-2399
Mailing Address - Fax:406-577-2388
Practice Address - Street 1:601 NIKLES DR
Practice Address - Street 2:SUITE 7
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2570
Practice Address - Country:US
Practice Address - Phone:406-577-2399
Practice Address - Fax:406-577-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care