| NPI | 1750428520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M REYNOLDS Owner 406-251-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-01-21 |