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.
Practice Location | 109 High St, Box 87, Judith Gap, MT 59453-7701, US | ||
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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). | |||
Specialty | Provider Type | Specialization | License | License State |
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Assisted Living Facility | Nursing & Custodial Care Facilities | 13378 | Montana | |
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) |
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Authorized Official Title/Position | ADMINISTRATOR |
Authorized Official Phone Number | 406-473-2206 |