Organization
VSR LLC
Active
Other names
THE VILLAGE SENIOR RESIDENCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B GOODMAN (PRESIDENT)
(952) 361-8000
Entity
Organization
Contact information
Practice address
2815 OLD FORT RD, MISSOULA, MT 59804-7422
(406) 549-1300
(406) 721-1620
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8060
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9908
MT
Other
Enumeration date
06/28/2006
Last updated
05/30/2014
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