| NPI | 1902514052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY GAZY Owner 406-570-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |