MS. PAMELA JUNE RUSSELL
Intermediate Care Facility, Mentally Retarded
Hamilton, Montana
Provider NPI: 1073778163
Provider Information:MS. PAMELA JUNE RUSSELL
Practice Location:
256 OERTLI LN HAMILTON, MT 59840 US
Tel: 406-381-5805 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | MT | 0035030-001 |