Provider Demographics
NPI:1881134583
Name:WESTERN MONTANA WORKS LLC
Entity type:Organization
Organization Name:WESTERN MONTANA WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALINOWSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:406-253-9678
Mailing Address - Street 1:1147 HOMESTEADERS WAY
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MT
Mailing Address - Zip Code:59925-9888
Mailing Address - Country:US
Mailing Address - Phone:406-253-9678
Mailing Address - Fax:
Practice Address - Street 1:1147 HOMESTEADERS WAY
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MT
Practice Address - Zip Code:59925-9888
Practice Address - Country:US
Practice Address - Phone:406-253-9678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management