| NPI | 1073678512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE ANN KRUGER Billing Agent 406-234-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 10439) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-09-11 |