Organization
CHURCHILL RETIREMENT HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY DYKSTERHOUSE (CHAIRMAN OF BOARD)
(406) 282-7291
Entity
Organization
Contact information
Practice address
6151 SHADY REST ST, MANHATTAN, MT 59741-8463
(406) 282-7233
(406) 282-7233
Mailing address
6151 SHADY REST ST, MANHATTAN, MT 59741-8463
(406) 282-7233
(406) 282-7233
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10818
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640832
—
MT
Enumeration date
04/25/2007
Last updated
08/22/2020
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