| NPI | 1619594991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ESTHER MARTINEZ Regional Coordinator 406-442-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |