| NPI | 1568710879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA T EADUS Co Owner 406-403-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MT C209442-1114283) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |