| NPI | 1407251952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY DESIREE MARTIN PT A 406-461-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT PTP-PTA-LIC-7691) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |