| NPI | 1770815276 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Doing Business As | PMG MT LNG TERM MOBILITY CARE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2025-05-07 |