| NPI | 1992075048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOU HENZE Owner/Administrator 406-210-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MT 0043361001) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |