| 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 |