| NPI | 1477108397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ESTHER MARTINEZ Regional Operations Director 406-442-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |