| NPI | 1962611434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE DIANE MCCAULEY Don Nha 406-237-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 275137) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-08-13 |