NPI | 1588653679 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY PEARSALL CFO 406-655-5684 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10910) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
261QA0600X Clinic/Center Adult Day Care (Licence: MT 10849) | |
261QR0400X Clinic/Center Rehabilitation | |
291U00000X Clinical Medical Laboratory | |
310400000X Assisted Living Facility (Licence: MT 10024) | |
310400000X Assisted Living Facility (Licence: MT 10959) | |
310400000X Assisted Living Facility (Licence: MT 10938) | |
Enumeration Date | 2005-10-20 |
Last Update Date | 2024-03-05 |