| NPI | 1417074436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL D SWENSON Administrator 406-855-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 11060) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |