Organization
LACASA PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LUISA SPOKLIE (ADMINISTRATIVE ASSISTANT)
(406) 765-1669
Entity
Organization
Contact information
Practice address
408 LASATER AVE, PLENTYWOOD, MT 59254-2070
(406) 765-1669
(406) 765-2886
Mailing address
408 LASATER AVE, PLENTYWOOD, MT 59254-2070
(406) 765-1669
(406) 765-2886
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11247
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7752102
—
MT
Enumeration date
10/11/2007
Last updated
10/11/2007
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