# GALLATIN COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gallatin Rest Home, Gallatin Rest Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831196393
- **Authorized official:** DARCEL VAUGHN (ADMINISTRATOR)
- **Authorized official phone:** (406) 582-3304

## Contact information

- **Practice address:** 1221 DURSTON RD, BOZEMAN, MT 59715-2725
- **Practice address phone:** (406) 582-3300
- **Practice address fax:** (406) 582-3333
- **Mailing address:** 1221 DURSTON RD, BOZEMAN, MT 59715-2725
- **Mailing address phone:** (406) 582-3300
- **Mailing address fax:** (406) 582-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 314000000X | Skilled Nursing Facility | 9959 | MT | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 12/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0316836 | — | MT |