Organization
FRONT RANGE ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON CARROLL (OWNER/ADMINISTRATOR)
(406) 467-2407
Entity
Organization
Contact information
Practice address
615 5TH AVE. NORTH, FAIRFIELD, MT 59436
(406) 467-2407
(406) 467-2411
Mailing address
615 5TH AVE. NORTH, FAIRFIELD, MT 59436
(406) 467-2407
(406) 467-2411
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13559
MT
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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