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Organization
POWDER RIVER COUNTY
Active
Organization
POWDER RIVER COUNTY
Active
Other names
Powder River Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KESA COPPS (BUSINESS OFFICE MANAGER)
(406) 436-2646
Entity
Organization
Contact information
Practice address
104 N. TRAUTMAN STREET, BOX 719, BROADUS, MT 59317-0719
(406) 436-2646
(406) 436-2923
Mailing address
PO BOX 719, 104 N. TRAUTMAN, BROADUS, MT 59317-0719
(406) 436-2646
(406) 436-2923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
314000000X
Skilled Nursing Facility
Primary
10072
MT
Other
Enumeration date
03/03/2006
Last updated
07/08/2021
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