| NPI | 1972476257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA FISK Owner 406-781-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |