PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1770815276
Doing Business AsPMG MT LNG TERM MOBILITY CARE
Entity TypeOrganization
Authorized ContactKIRK BODLOVIC
CFO
406-543-7271
Organization Subpart ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2010-02-08
Last Update Date2013-12-12
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST
MISSOULA, MT 59802-4096
Phone number: 406-329-7870
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-327-1918