Organization
STRAWBERRY ROAN STABLE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MAE RIVERA RN (ADMINISTRATOR)
(406) 473-2206
Entity
Organization
Contact information
Practice address
109 HIGH ST, BOX 87, JUDITH GAP, MT 59453-7701
(406) 473-2206
(406) 473-2207
Mailing address
109 HIGH STREET, BOX 87, JUDITH GAP, MT 59453-5945
(406) 473-2206
(406) 473-2207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
13378
MT
Other
Enumeration date
07/09/2015
Last updated
04/15/2024
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