1130 Seventeenth Avenue Operations Llc

NPI 1063459501 - Alzheimer Center (Dementia Center) - 311500000X

NPI Details
NPI 1063459501
Enumeration Date 06/01/2006
Last Updated 05/17/2016
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MICHAEL T. MICHAEL
Position ASSISTANT SECRETARY
Phone (406) 771-4500
Fax
Practice Location
1130 17TH AVE S
GREAT FALLS MT, 59405-4523, US
Phone (406) 771-4500
Fax
Business Location
1130 17TH AVE S
GREAT FALLS MT, 59405-4523, US
Phone (406) 771-4500
Fax (505) 468-8742
Toxanomy
Taxonomy Code 311500000X
License State Montana
License Number 9207
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According to our database, 1130 Seventeenth Avenue Operations Llc NPI is 1063459501, taxonomy code is 311500000X and license number is 9207, license state is located at Montana. 1130 Seventeenth Avenue Operations Llc physically located at 1130 17th Ave S, Great Falls MT, 59405-4523. NPI Number 1033115704 has the healthcare provider type.

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1063459501 NPI number is provided on an as is basis without warranty of any kind. 1063459501 is maintained by the National Plan & Provider Enumeration System. The contents of 1130 Seventeenth Avenue Operations Llc are for informational purposes only.