| NPI | 1649279183 |
|---|---|
| Doing Business As | IMMANUEL LUTHERAN HOME |
| Entity Type | Organization |
| Authorized Contact | KEITH GENDREAU Adminstrator.CEO 406-752-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10077) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2010-12-20 |