Organization
LIBERTY PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN GEIGER (EXECUTIVE ADMINISTRATOR)
(406) 287-9887
Entity
Organization
Contact information
Practice address
313 W LEGION ST, WHITEHALL, MT 59759-7762
(406) 287-9887
Mailing address
PO BOX 446, WHITEHALL, MT 59759-0446
(406) 287-9887
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13018
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012154
—
MT
Enumeration date
01/14/2015
Last updated
01/14/2015
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