Organization
KISMET COL, LLC
Active
Other names
Beartooth Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
350 WEST PIKE, COLUMBUS, MT 59019
(406) 322-5342
Mailing address
350 WEST PIKE, COLUMBUS, MT 59019-0789
(406) 322-5342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
9401
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053-3885
—
MT
Enumeration date
07/13/2005
Last updated
03/19/2019
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