Organization
KISMET BZN2, LLC.
Active
Other names
Bridger Rehab and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 642-7736
Entity
Organization
Contact information
Practice address
321 N 5TH AVE, BOZEMAN, MT 59715
(406) 587-4404
(406) 587-2302
Mailing address
321 N 5TH AVE, BOZEMAN, MT 59715-3415
(406) 587-4404
(406) 587-2302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
13069
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310466
—
MT
Enumeration date
05/05/2006
Last updated
03/19/2019
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