| NPI | 1033678180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ADELFA FULLER ZURENDA Clinical Administrator 406-521-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |