| NPI | 1104212935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELIE WELLCOME Administrator 406-727-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 13335) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |