Organization
MT SILCOX ADULT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY LOU HENZE (OWNER/ADMINISTRATOR)
(406) 210-1737
Entity
Organization
Contact information
Practice address
210 SOUTH MADISON STREET, THOMPSON FALLS, MT 59873-1737
(406) 210-1721
Mailing address
PO BOX 1721, THOMPSON FALLS, MT 59873-1721
(406) 210-1737
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0043361001
MT
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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