| NPI | 1013105311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LUISA SPOKLIE Administrative Assistant 406-765-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 11247) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |