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Organization

GREAT FALLS SL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS SPROUL (PRESIDENT- MOSAIC MANAGEMENT)
(503) 391-9999
Entity
Organization

Contact information

Practice address
1801 9TH ST S, GREAT FALLS, MT 59405-5608
(503) 391-9999
Mailing address
1900 HINES ST SE STE 150, SALEM, OR 97302-1337
(503) 391-9999
(503) 587-8547

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
11/27/2019
Last updated
01/09/2020
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