Organization
GENERATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTON BRIAN IRVINE (CEO)
(406) 539-7133
Entity
Organization
Contact information
Practice address
200 W FAGIN ST, ENNIS, MT 59729-8923
(406) 539-7133
Mailing address
200 W FAGIN ST, ENNIS, MT 59729-8923
(406) 539-7133
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12248
MT
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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