NPI | 1801234141 |
---|---|
Doing Business As | POWDER RIVER MANOR |
Entity Type | Organization |
Authorized Contact | KAREN D AMENDE Clerk And Recorder 406-436-2657 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2013-06-10 |
Last Update Date | 2023-11-27 |