Shady Lane Assisted Living INC
NPI #1770646440 in Miles City, Montana
Provider Information
- NPI Number
- 1770646440
- Entity Type
- Organization
- Organization Name
- Shady Lane Assisted Living INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1018 PLEASANT ST
- City
- Miles City
- State
- Montana
- ZIP Code
- 59301-3415
- Phone
- (406) 234-4104
Authorized Official
- Name
- DEE ANN KRUGER, RN
- Title
- ADMINISTRATOR, SEC,TREAS, RN
- Phone
- (406) 234-4104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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