Provider Demographics
NPI:1568186849
Name:ST. ANNE'S HOME FOR ASSISTED LIVING & SERVICES
Entity Type:Organization
Organization Name:ST. ANNE'S HOME FOR ASSISTED LIVING & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OVERSIGHT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-249-6071
Mailing Address - Street 1:PO BOX 3401
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59903-3401
Mailing Address - Country:US
Mailing Address - Phone:406-249-6071
Mailing Address - Fax:
Practice Address - Street 1:220 PARK DR
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2922
Practice Address - Country:US
Practice Address - Phone:406-249-6071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care