| NPI | 1588683866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI PULA Administrator 406-357-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 9960) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-07-21 |