NPI | 1962115279 |
---|---|
Doing Business As | YOUR HOME AWAY FROM HOME II |
Entity Type | Organization |
Authorized Contact | JESSICA ROBINSON Owner/Admin/Registered Agent 406-717-8764 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
Enumeration Date | 2023-01-02 |
Last Update Date | 2023-01-02 |