Kismet Red, LLC

NPI #1326047150 in Red Lodge, Montana

Provider Information

NPI Number: 1326047150
Entity Type: Organization
Organization Name: Kismet Red, LLC
Primary Specialty: Skilled Nursing Facility
Enumeration Date: Jul 14, 2005
Last Updated: Mar 19, 2019

Practice Location

Address: 1 S OAKS AVE
City: Red Lodge
State: Montana
ZIP Code: 59068
Phone: (406) 446-2525

Authorized Official

Name: MICHAEL MOORE
Title: CFO
Phone: (605) 642-7736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Skilled Nursing Facility	314000000X	Primary

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