- Enrollment id
- O20100616000414
- Enrollment state
- MT
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1689641284
- Multiple npi flag
- N
- Ccn
- 277060
- Associate id
- 5991613598
- Organization name
- LIVINGSTON HEALTHCARE
- Doing business as name
- LIVINGSTON HEALTHCARE HOME HEALTH AND HOSPICE
- Incorporation date
- 1946-12-24
- Incorporation state
- MT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 320 ALPENGLOW LN
- City
- LIVINGSTON
- State
- MT
- Zip code
- 590478506