Organization
KISMET BIG, LLC
Active
Other names
Lake View Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
1050 GRAND DR, BIGFORK, MT 59911
(406) 837-5041
Mailing address
1050 GRAND DR, BIGFORK, MT 59911-3563
(406) 837-5041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
9829
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312078
—
MT
Enumeration date
07/26/2005
Last updated
03/18/2019
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