Organization
POWDER RIVER COUNTY
Active
Other names
Powder River Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KESA COPPS (BUSINESS OFFICE MANAGER)
(406) 436-2646
Entity
Organization
Contact information
Practice address
104 N. TRAUTMAN STREET, BOX 719, BROADUS, MT 59317-0719
(406) 436-2646
(406) 436-2923
Mailing address
PO BOX 719, 104 N. TRAUTMAN, BROADUS, MT 59317-0719
(406) 436-2646
(406) 436-2923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
314000000X
Skilled Nursing Facility
Primary
10072
MT
Other
Enumeration date
03/03/2006
Last updated
07/08/2021
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