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MERCY MANOR LLC

Adult Care Home

Bozeman, Montana

Provider NPI: 1619188810

Organization Information:
Organization Name:  MERCY MANOR LLC


Practice Location:
5830 SYPES CANYON RD  BOZEMAN, MT 59715 US
Tel: 406-556-1868  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
MT0027125001

Other Provider Identifiers:

IssuerNumberStateType
0640883MT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS MT - Page 1



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