| NPI | 1366408023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE JOY DIANE HOUSE Administrator 406-676-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10512) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |