| NPI | 1598756322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE RENEE WOLBAUM Administrator 406-466-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10074) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MT 10074) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2012-12-14 |