Front Range Assisted Living, Inc.
Organization Active NPI Assisted Living Facility · Fairfield, MT
NPI 1336554203 · NPPES record last updated Jun 30, 2014
Key facts
- NPI
- 1336554203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 13559 (MT)
- Legal business name
- FRONT RANGE ASSISTED LIVING, INC.
- Practice address
- 615 5TH Ave. North
Fairfield, MT 59436 - Phone
- (406) 467-2407
- Fax
- (406) 467-2411
- NPI assigned
- Jun 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Damon Carroll
- Title
- Owner/Administrator
- Phone
- (406) 467-2407
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 13559 | MT | Yes |
Addresses
Primary practice location
615 5TH Ave. North
Fairfield, MT 59436
Mailing address
615 5TH Ave. North
Fairfield, MT 59436
Phone (406) 467-2407
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All providers in Fairfield, MT · Assisted Living Facility in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.