Provider Demographics
NPI:1114515285
Name:GUARDIAN GROUP MONTANA LLC
Entity Type:Organization
Organization Name:GUARDIAN GROUP MONTANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-842-5133
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:MT
Mailing Address - Zip Code:59749-0899
Mailing Address - Country:US
Mailing Address - Phone:406-842-5133
Mailing Address - Fax:406-842-5651
Practice Address - Street 1:504 RAY LN
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:MT
Practice Address - Zip Code:59749-8503
Practice Address - Country:US
Practice Address - Phone:406-842-5133
Practice Address - Fax:406-842-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility