| NPI | 1356341051 |
|---|---|
| Doing Business As | GLACIER CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOORE CFO 605-642-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10270) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 310400000X Assisted Living Facility (Licence: MT 12585) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-09-03 |