Organization
FLOR-HAVEN HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN OVERBAUGH (ADMINISTRATOR)
(406) 542-2598
Entity
Organization
Contact information
Practice address
433 S 3RD ST W, MISSOULA, MT 59801-2519
(406) 542-2598
(406) 542-2598
Mailing address
433 S 3RD ST W, MISSOULA, MT 59801-2519
(406) 542-2598
(406) 542-2598
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
12245
MT
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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