Organization
KISMET GPI-A, LLC
Active
Other names
Wel-Life at Kalispell
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
156 THREE MILE DR, KALISPELL, MT 59901-3076
(406) 756-8688
Mailing address
156 THREE MILE DR, KALISPELL, MT 59901-3076
(406) 756-8688
(406) 756-0095
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13479
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235467
—
MT
Enumeration date
07/28/2017
Last updated
11/26/2018
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