Organization
KISMET GPI, LLC.
Active
Other names
Heritage Place
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 644-3553
Entity
Organization
Contact information
Practice address
171 HERITAGE WAY, KALISPELL, MT 59901
(406) 755-0800
Mailing address
171 HERITAGE WAY, KALISPELL, MT 59901-3145
(406) 755-0800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
9949
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310675
—
MT
Enumeration date
07/26/2005
Last updated
05/17/2023
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