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Organization
KISMET LWT, LLC
Active
Organization
KISMET LWT, LLC
Active
Other names
Valle Vista Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
402 SUMMIT AVE, LEWISTOWN, MT 59457
(406) 538-8775
(406) 538-8773
Mailing address
402 SUMMIT AVE, LEWISTOWN, MT 59457-3247
(406) 538-8775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
10147
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312260
—
MT
Enumeration date
09/12/2005
Last updated
05/17/2023
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