Strawberry Roan Stable Living Llc is a health care provider in Judith Gap, MT. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information| Practice Location | 109 High St, Box 87, Judith Gap, MT 59453-7701, US | ||
|---|---|---|---|
| Practice Location Phone | 406-473-2206 | ||
| Practice Location Fax | 406-473-2207 | ||
| Legal Business Name | STRAWBERRY ROAN STABLE LIVING LLC | ||
| NPI ? | 1578946471 | ||
| Entity Type | Organization | ||
| Enumeration Date ? | Jul 9, 2015 | ||
| Last Update Date ? | Jul 9, 2015 | ||
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |||
Specialties & Licenses of Strawberry Roan Stable Living Llc| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Assisted Living Facility | Nursing & Custodial Care Facilities | 13378 | Montana | |
Authorized Official of Strawberry Roan Stable Living LlcAn authorized official is an appointed official with the legal authority to make changes and/or updates to the Strawberry Roan Stable Living Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
| Authorized Official | Mrs. Jacqueline Mae Rivera (REGISTERED NURSE) |
|---|---|
| Authorized Official Title/Position | ADMINISTRATOR |
| Authorized Official Phone Number | 406-473-2206 |
