# KISMET COL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beartooth Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093713075
- **Authorized official:** MICHAEL MOORE (CFO)
- **Authorized official phone:** (605) 642-7736

## Contact information

- **Practice address:** 350 WEST PIKE, COLUMBUS, MT 59019
- **Practice address phone:** (406) 322-5342
- **Mailing address:** 350 WEST PIKE, COLUMBUS, MT 59019-0789
- **Mailing address phone:** (406) 322-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 314000000X | Skilled Nursing Facility | 9401 | MT | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 03/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 053-3885 | — | MT |