Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home Care1130 SEVENTEENTH AVENUE OPERATIONS LLC
Alzheimer Center
Great Falls, Montana
Provider NPI: 1063459501
Organization Information:Organization Name: 1130 SEVENTEENTH AVENUE OPERATIONS LLC
Practice Location:
1130 17TH AVE S GREAT FALLS, MT 59405 US
Tel: 406-771-4500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1130 17TH AVE S GREAT FALLS, MT 59405 US
Tel: 406-771-4500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MT | 12680 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC/BS | 41502 | MT | 01 |
| 3400969 | MT | 05 | |
| 3400982 | MT | 05 | |
| 310301 | MT | 05 | |
| 0534548 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin