Organization
MERCY MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN A HOFMAN (OWNER)
(406) 556-1868
Entity
Organization
Contact information
Practice address
5830 SYPES CANYON RD, BOZEMAN, MT 59715-9379
(406) 556-1868
Mailing address
5830 SYPES CANYON RD, BOZEMAN, MT 59715-9379
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0027125001
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640883
—
MT
Enumeration date
05/28/2007
Last updated
08/22/2020
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