Kenton Irvine is an Assisted Living Facility based in Ennis, MT. Kenton Irvine practices in Ennis, MT. The NPI Number for Kenton Irvine is 1689098253 and holds a License No. 12601 (Montana).
The current practice location address for Kenton Irvine is 200 W Fagin St, Ennis, MT and can be reached out via phone at 406-539-7133.
Location: 200 W Fagin St, Ennis, MT, 59729-8923
Provider Profile Details
NPI Number
1689098253
Provider Name
Kenton Irvine
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 W Fagin St, Ennis, MT, 59729-8923
Phone Number
406-539-7133
Fax Number
Provider Enumeration Date
02/18/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
200 W Fagin St
City
State
Zip
59729-8923
Phone Number
406-539-7133
Fax Number
Provider Business Mailing Address Details
Address
200 W Fagin St
City
State
Zip
59729-8923
Phone Number
406-539-7133
Fax Number
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
12601 (Montana)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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