NPI | 1194105684 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMON J RUDE President 406-655-1883 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY P0515-115) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2015-06-01 |