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Organization
KISMET BZN, LLC
Active
Organization
KISMET BZN, LLC
Active
Other names
Mountain View Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
205 N TRACY AVE, BOZEMAN, MT 59715
(406) 587-2218
Mailing address
205 N TRACY AVE, BOZEMAN, MT 59715-3564
(406) 587-2218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
10091
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312039
—
MT
Enumeration date
08/09/2005
Last updated
03/18/2019
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