Organization
RSL BOZEMAN, LLC
Active
Parent organization
RADIANT COMPANIES, INC.
Other names
BOZEMAN LODGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIANT COMPANIES, INC.
Authorized official
JAMES T. GUFFEE (PRESIDENT OF MANAGER)
(503) 595-2810
Entity
Organization
Contact information
Practice address
1547 HUNTERS WAY, BOZEMAN, MT 59718-6170
(406) 522-5452
(406) 522-0390
Mailing address
10220 SW GREENBURG RD STE 201, PORTLAND, OR 97223-5505
(503) 595-2810
(503) 595-2818
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13204
RESIDENTIAL CARE FACILITY LICENSE
MT
Enumeration date
06/25/2020
Last updated
06/25/2020
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