IVY AT DEER LODGE LLC

DEER LODGE, MT
NPI1356988349
Entity TypeOrganization
Authorized ContactRYAN MORRIS COANE
Chief Operating Officer
305-912-9260
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Additional Taxonomies225100000X Physical Therapist
225X00000X Occupational Therapist
235Z00000X Speech-Language Pathologist,
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2019-12-09
Last Update Date2021-01-12
Business Address
IVY AT DEER LODGE LLC
1100 TEXAS AVE
DEER LODGE, MT 59722-1829
Phone number: 406-846-1655
Mailing Address
IVY AT DEER LODGE LLC
9429 HARDING AVE # 141
SURFSIDE, FL 33154-2803
Phone number: 305-912-9260