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Organization
KISMET MILS, LLC
Active
Organization
KISMET MILS, LLC
Active
Other names
Friendship Villa Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
2300 WILSON ST, MILES CITY, MT 59301
(406) 874-2687
Mailing address
2300 WILSON ST, MILES CITY, MT 59301-5078
(406) 874-2687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
13520
MT
235Z00000X
Speech-Language Pathologist
4672
MT
314000000X
Skilled Nursing Facility
Primary
9760
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312065
—
MT
Enumeration date
07/26/2005
Last updated
05/14/2019
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