Provider Demographics
NPI:1518467893
Name:PRICE, RACHEL N
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:N
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 GRANTSDALE RD TRLR 21
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3363
Mailing Address - Country:US
Mailing Address - Phone:406-207-9905
Mailing Address - Fax:
Practice Address - Street 1:643 GRANTSDALE RD TRLR 21
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3363
Practice Address - Country:US
Practice Address - Phone:406-207-9905
Practice Address - Fax:406-207-9905
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide