Provider Demographics
NPI:1780153700
Name:HIDDEN MEADOW MANAGEMENT LLC
Entity type:Organization
Organization Name:HIDDEN MEADOW MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:N
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-897-1017
Mailing Address - Street 1:240 HIDDEN MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-8967
Mailing Address - Country:US
Mailing Address - Phone:406-897-1017
Mailing Address - Fax:406-897-1031
Practice Address - Street 1:240 HIDDEN MEADOW LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-8967
Practice Address - Country:US
Practice Address - Phone:406-897-1017
Practice Address - Fax:406-897-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility