| NPI | 1831457308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN STEFFES Registered Nurse/Administrator 406-587-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MT 12532) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MT 12884) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |