NPI | 1336554203 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMON CARROLL Owner/Administrator 406-467-2407 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 13559) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2014-06-30 |