Provider Demographics
NPI:1710015755
Name:MISSOULA DEVELOPMENTAL SERVICE CORP
Entity Type:Organization
Organization Name:MISSOULA DEVELOPMENTAL SERVICE CORP
Other - Org Name:MDSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-728-5484
Mailing Address - Street 1:1005 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801
Mailing Address - Country:US
Mailing Address - Phone:406-728-5484
Mailing Address - Fax:406-728-5313
Practice Address - Street 1:1005 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801
Practice Address - Country:US
Practice Address - Phone:406-728-5484
Practice Address - Fax:406-728-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)