- Enrollment id
- O20180117000324
- Enrollment state
- MT
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1790295046
- Multiple npi flag
- N
- Ccn
- 271537
- Associate id
- 9537428768
- Organization name
- SENIOR SOLUTIONS INC
- Doing business as name
- TREK HEALTHCARE
- Incorporation date
- 2014-12-14
- Incorporation state
- MT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1554 HARRISON AVE
- Address line 2
- STE C
- City
- BUTTE
- State
- MT
- Zip code
- 597014859