Organization
GALLATIN COUNTY
Active
Other names
Gallatin Rest Home, Gallatin Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
DARCEL VAUGHN (ADMINISTRATOR)
(406) 582-3304
Entity
Organization
Contact information
Practice address
1221 DURSTON RD, BOZEMAN, MT 59715-2725
(406) 582-3300
(406) 582-3333
Mailing address
1221 DURSTON RD, BOZEMAN, MT 59715-2725
(406) 582-3300
(406) 582-3333
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
314000000X
Skilled Nursing Facility
9959
MT
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316836
—
MT
Enumeration date
06/30/2005
Last updated
12/09/2024
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