Mission Mountain Enterprises, Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Ronan, MT
NPI 1932259140 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1932259140
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- 0010326 (MT)
- Legal business name
- MISSION MOUNTAIN ENTERPRISES, INC.
- Practice address
- 330 Main St SW
Ronan, MT 59864-2707 - Phone
- (406) 676-2563
- Fax
- (406) 676-2569
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Graydon Moll
- Title
- Chief Executive Officer
- Phone
- (406) 676-2563
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 0010326 | MT | Yes |
Addresses
Primary practice location
330 Main St SW
Ronan, MT 59864-2707
Mailing address
330 Main St SW
Ronan, MT 59864-2707
Phone (406) 676-2563
Other providers in Ronan, MT
- Bruce M McMillan
- Sarah A.S. Meeks
- Toni Michel
- Bruce Devin Mikesell
- Mission Mobile Physical Therapy LLC
- Mission Mountain Home Care LLC
- Mission Valley Eye Center, Inc.
- Mission Valley Wellness, PLLC
- Char-El Teresa Montana
- James Michael Moore
All providers in Ronan, MT · Developmentally Disabled Services Day Training Agency in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.