| NPI | 1326936352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNALIZA C KOCZUR Administrator 406-868-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |