NPI | 1619188810 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN A HOFMAN Owner 406-556-1868 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MT 0027125001) |
Enumeration Date | 2007-05-28 |
Last Update Date | 2020-08-22 |