# KISMET LWT, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Valle Vista Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740275288
- **Authorized official:** MICHAEL MOORE (CFO)
- **Authorized official phone:** (605) 642-7736

## Contact information

- **Practice address:** 402 SUMMIT AVE, LEWISTOWN, MT 59457
- **Practice address phone:** (406) 538-8775
- **Practice address fax:** (406) 538-8773
- **Mailing address:** 402 SUMMIT AVE, LEWISTOWN, MT 59457-3247
- **Mailing address phone:** (406) 538-8775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 314000000X | Skilled Nursing Facility | 10147 | MT | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 05/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0312260 | — | MT |