# KALISPELL REHABILITATION AND NURSING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kalispell Rehabilitation and Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760175145
- **Authorized official:** WALTER ERIC MYERS (MEMBER)
- **Authorized official phone:** (801) 709-4358

## Contact information

- **Practice address:** 171 HERITAGE WAY, KALISPELL, MT 59901-3145
- **Practice address phone:** (406) 775-0800
- **Mailing address:** 171 HERITAGE WAY, KALISPELL, MT 59901-3145
- **Mailing address phone:** (406) 775-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2023
- **Last updated:** 01/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13580 | FACILITY LICENSE | MT |