| NPI | 1386611747 |
|---|---|
| Doing Business As | POWDER RIVER MANOR |
| Entity Type | Organization |
| Authorized Contact | KESA COPPS Business Office Manager 406-436-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10072) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2021-07-08 |