1130 Seventeenth Avenue Operations LLC
NPI #1063459501 in Great Falls, Montana
Provider Information
- NPI Number
- 1063459501
- Entity Type
- Organization
- Organization Name
- 1130 Seventeenth Avenue Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 1, 2006
- Last Updated
- May 17, 2016
Practice Location
- Address
- 1130 17TH AVE S
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59405-4523
- Phone
- (406) 771-4500
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Carolyn Johnston, P.T.A |
Organizations
| Provider Name | |
|---|---|
| Genesis Rehabilitation | |
| Empres at Great Falls, LLC Part of Empres Montana Healthcare, LLC | |
| Genesis Rehabilitation | |
| Sweetwater Gf Opco LLC |
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