Organization
MASONIC HOME OF MONTANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY S. FORTNER (ADMINISTRATOR)
(406) 458-5431
Entity
Organization
Contact information
Practice address
2010 MASONIC HOME RD, HELENA, MT 59602-9517
(406) 458-5461
Mailing address
2010 MASONIC HOME RD, HELENA, MT 59602-9517
(406) 458-5461
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10266
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650522
—
MT
Enumeration date
02/24/2008
Last updated
11/21/2008
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