| NPI | 1386850899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ART D SIMONS Administrator 406-452-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MT 10900) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-08-24 |