Organization
SHADY LANE ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEE ANN KRUGER RN (ADMINISTRATOR, SEC,TREAS, RN)
(406) 234-4104
Entity
Organization
Contact information
Practice address
1018 PLEASANT ST, MILES CITY, MT 59301-3415
(406) 234-4104
(406) 234-8019
Mailing address
1018 PLEASANT ST, MILES CITY, MT 59301-3415
(406) 234-4104
(406) 234-8019
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10713
MT
Other
Enumeration date
12/17/2006
Last updated
08/22/2020
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