| NPI | 1205926128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT HANAWALT Administrator 406-638-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MT 10981) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |