| NPI | 1013596923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M HANDY Managing Director 406-871-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |