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Strawberry Roan Stable Living Llc

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.

physician-icon Basic Information

Practice Location 109 High St, Box 87, Judith Gap, MT 59453-7701, US
Practice Location Phone406-473-2206
Practice Location Fax406-473-2207
Legal Business NameSTRAWBERRY ROAN STABLE LIVING LLC
NPI ?1578946471
Entity TypeOrganization
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).

specialty-icon Specialties & Licenses of Strawberry Roan Stable Living Llc

SpecialtySpecializationLicenseLicense State
Assisted Living Facility 13378Montana

official-icon Authorized Official of Strawberry Roan Stable Living Llc

An 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/PositionADMINISTRATOR
Authorized Official Phone Number406-473-2206