Organization
AWE KUALAWAACHE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE WEASEL RN (ADMINISTRATOR)
(406) 638-9111
Entity
Organization
Contact information
Practice address
10131 SOUTH HERITAGE RD, CROW AGENCY, MT 59022
(406) 638-9111
(406) 638-9119
Mailing address
PO BOX 999, CROW AGENCY, MT 59022
(406) 638-9111
(406) 638-9119
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310318
—
MT
Enumeration date
10/13/2006
Last updated
02/07/2025
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