| NPI | 1528199395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS BACKUS Administrator 406-656-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 10822) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |