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Organization
KISMET BZN2, LLC.
Active
Organization
KISMET BZN2, LLC.
Active
Other names
Bridger Rehab and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 642-7736
Entity
Organization
Contact information
Practice address
321 N 5TH AVE, BOZEMAN, MT 59715
(406) 587-4404
(406) 587-2302
Mailing address
321 N 5TH AVE, BOZEMAN, MT 59715-3415
(406) 587-4404
(406) 587-2302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
13069
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310466
—
MT
Enumeration date
05/05/2006
Last updated
03/19/2019
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