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PRAIRIE RIDGE VILLAGE

Assisted Living Facility

Glasgow, Montana

Provider NPI: 1942313283

Organization Information:
Organization Name:  PRAIRIE RIDGE VILLAGE


Practice Location:
521 4TH AVE S  GLASGOW, MT 59230 US
Tel: 406-228-2208  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MT0700553

Other Provider Identifiers:

IssuerNumberStateType
DPHHS RESIDENTIAL HEALTH9566MT01
0700553MT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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