Organization
THE HOME PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHERANN MAE WAYNE (OWNER)
(406) 880-0044
Entity
Organization
Contact information
Practice address
401 SEELEY LN, SEELEY LAKE, MT 59868-8702
(406) 880-0044
Mailing address
PO BOX 763, SEELEY LAKE, MT 59868-0763
(406) 880-0044
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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