# GLACIER CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glacier Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356341051
- **Authorized official:** MICHAEL MOORE (CFO)
- **Authorized official phone:** (605) 642-7736

## Contact information

- **Practice address:** 707 3RD ST SE, CUT BANK, MT 59427
- **Practice address phone:** (406) 873-5600
- **Mailing address:** 707 3RD ST SE, CUT BANK, MT 59427-3500
- **Mailing address phone:** (406) 873-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 310400000X | Assisted Living Facility | 12585 | MT | — |
| 314000000X | Skilled Nursing Facility | 10270 | MT | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 09/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12585 | — | MT |
| 05 | — | 310879 | — | MT |