IndividualActive
Eddie Tryon, CNA
NPI 1073378147 · In Home Supportive Care Agency · Polson, MT
Provider details
- NPI number
- 1073378147
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Credential
- CNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 362827 (MT)
Specialties & taxonomies
Agencies
Practice location
403 19th Ave W
Polson, MT 59860-4030
Phone: (406) 261-3693
Approximate (ZIP-level) locationGet directions
Mailing address
403 19th Ave W
Polson, MT 59860-4030
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-02-26
- Certified
- 2024-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.