NPI 1124586607

Pangea Health Services LLC

Organisation Community/Behavioral Health Agency Missoula, MT

Practice location

Address: 4254 Bordeaux Blvd, Missoula, MT 59808-9686
Phone: (406) 871-5814
Fax: (406) 214-6334

Authorised official

Name: Ashley Gummer
Title: Owner
Phone: (406) 871-5814

Registered specialties (3)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1124586607
Entity type: Organization
NPI issued: 4 Mar 2019
Record last updated: 4 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.