Organization
FLOR HAVEN HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN GAYE OVERBAUGH (OWNER/ADMINISTRATOR)
(406) 542-2598
Entity
Organization
Contact information
Practice address
433 S 3RD ST W, MISSOULA, MT 59801-2519
(406) 542-2598
Mailing address
433 S 3RD ST W, MISSOULA, MT 59801-2519
(406) 542-2598
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11096
MT
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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