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 |