Organization
LAKEVIEW ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIAN HUNTER (OWNER/ADMINISTRATOR)
(406) 748-3031
Entity
Organization
Contact information
Practice address
7437 CASTLE ROCK LAKE DR, COLSTRIP, MT 59323-9533
(406) 748-3031
Mailing address
PO BOX 2521, COLSTRIP, MT 59323-2521
(406) 748-3031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31474
STATE LICENSE NUMBER
MT
Enumeration date
01/25/2019
Last updated
01/25/2019
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