# AWE KUALAWAACHE CARE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205926128
- **Authorized official:** MARIE WEASEL RN (ADMINISTRATOR)
- **Authorized official phone:** (406) 638-9111

## Contact information

- **Practice address:** 10131 SOUTH HERITAGE RD, CROW AGENCY, MT 59022
- **Practice address phone:** (406) 638-9111
- **Practice address fax:** (406) 638-9119
- **Mailing address:** PO BOX 999, CROW AGENCY, MT 59022
- **Mailing address phone:** (406) 638-9111
- **Mailing address fax:** (406) 638-9119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 02/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 310318 | — | MT |