NPI 1407227655 · live from the CMS NPI Registry
Mavis Dillman
Technician, Personal Care Attendant in Great Falls, MT. National Provider Identifier 1407227655, active.
NPI record
| NPI | 1407227655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Technician, Personal Care Attendant 3747P1801X |
| Practice location | 1069 Grant Dr, Great Falls, MT 59404 |
| Practice phone | 406-564-7049 |
| Enumerated | October 14, 2015 |
| Last updated | April 17, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | 920112 (MT) |
| Technician, Personal Care Attendant primary | 3747P1801X | 920112 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.