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Organization
INTERGENERATIONAL LIVING & HEALTH CARE, INC
Active
Organization
INTERGENERATIONAL LIVING & HEALTH CARE, INC
Active
Other names
VALLEY VIEW ESTATES HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GUSTAFSON (PRESIDENT)
(952) 361-8000
Entity
Organization
Contact information
Practice address
225 N 8TH ST, HAMILTON, MT 59840-2303
(406) 363-1144
(406) 363-7654
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9735
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310167
—
MT
05
—
0341536
—
MT
05
—
0341562
—
MT
05
—
0530348
—
MT
01
—
4131-2
BCBS OF MONTANA
—
05
—
610415
—
MT
Enumeration date
04/26/2006
Last updated
08/22/2020
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