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Organization
KISMET GPI, LLC.
Active
Organization
KISMET GPI, LLC.
Active
Other names
Heritage Place
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 644-3553
Entity
Organization
Contact information
Practice address
171 HERITAGE WAY, KALISPELL, MT 59901
(406) 755-0800
Mailing address
171 HERITAGE WAY, KALISPELL, MT 59901-3145
(406) 755-0800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
9949
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310675
—
MT
Enumeration date
07/26/2005
Last updated
05/17/2023
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