NPI | 1760787634 |
---|---|
Entity Type | Organization |
Authorized Contact | KENTON BRIAN IRVINE CEO 406-539-7133 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 12248) |
Enumeration Date | 2011-01-24 |
Last Update Date | 2011-01-24 |