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Country Home

Country Home is a health care provider in Malta, MT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1568 Us Highway 191 S, Malta, MT 59538-9324, US
Practice Location Phone406-654-2198
Practice Location Fax406-654-2198
Legal Business NameCOUNTRY HOME
Other Organization NameDUANE MURRAY
Other Organization Name TypeDoing Business As Name
NPI ?1649302951
Entity TypeOrganization
Enumeration Date ? Mar 12, 2007
Last Update Date ? Jun 25, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Country Home

SpecialtySpecializationLicenseLicense State
Assisted Living Facility 10259Montana

legacy-id-icon Legacy Provider IDs of Country Home

Provider IdIssuer StateIssuer TypeIssuer
0000700077MontanaMedicaid

official-icon Authorized Official of Country Home

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Country Home's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Duane E. Murray
Authorized Official Title/PositionOWNER
Authorized Official Phone Number406-654-2198