Ivy at Deer Lodge LLC

NPI #1356988349 in Deer Lodge, Montana

Provider Information

NPI Number
1356988349
Entity Type
Organization
Organization Name
Ivy at Deer Lodge LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 9, 2019
Last Updated
Jan 12, 2021

Practice Location

Address
1100 TEXAS AVE
State
Montana
ZIP Code
59722-1829
Phone
(406) 846-1655

Authorized Official

Name
MR. RYAN MORRIS COANE
Title
CHIEF OPERATING OFFICER
Phone
(305) 912-9260

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Occupational Therapist
Speech-Language Pathologist
Durable Medical Equipment & Medical Supplies
Skilled Nursing Facility

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