| NPI | 1740963727 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | JULIEANN LAPUZ MOSS Administrator 406-239-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-28 |