| NPI | 1518045665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY BOLD Administrator 406-378-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10637) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |