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State Of Montana
Mental Illness Intermediate Care Facility in Lewistown, Montana
NPI 1528079720

State Of Montana is a Mental Illness Intermediate Care Facility based in Helena, MT. State Of Montana practices in Lewistown, MT. The NPI Number for State Of Montana is 1528079720 and holds a License No. 10746 (Montana).

The current practice location address for State Of Montana is 800 Casino Creek Dr, Lewistown, MT and can be reached out via phone at 406-538-7451 and via fax at 406-538-2863.

Location: 800 Casino Creek Dr, Lewistown, MT, 59601-4520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528079720
Provider Name
State Of Montana
Credential
Provider Entity Type
Organization
Address
800 Casino Creek Dr, Lewistown, MT, 59601-4520
Phone Number
406-538-7451
Fax Number
406-538-2863
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
57-0414 05 MT
57-2546 05 MT
57-0197 05 MT
57-2676 05 MT
institution
Provider Business Practice Location Address Details
Address
800 Casino Creek Dr
City
Lewistown
State
Montana
Zip
59457-3359
Phone Number
406-538-7451
Fax Number
406-538-2863
person
Provider Business Mailing Address Details
Address
800 Casino Creek Dr
City
Lewistown
State
Montana
Zip
59457-3359
Phone Number
406-538-7451
Fax Number
406-538-2863
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
10746 (Montana)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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