| NPI | 1831199314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK W THOMPSON Administrator 406-228-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MT 9958) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MT 9958) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: MT 9921) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2021-11-22 |