Organization
NORTHCARE MONTANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAC JONES (CEO)
(760) 815-7203
Entity
Organization
Contact information
Practice address
2814 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1738
(406) 543-6183
Mailing address
4319 W RAVENNA ST, MERIDIAN, ID 83646-2908
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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