NPI 1770646440

Shady Lane Assisted Living INC

Organisation Assisted Living Facility Miles City, MT

Practice location

Address: 1018 Pleasant St, Miles City, MT 59301-3415
Phone: (406) 234-4104
Fax: (406) 234-8019

Authorised official

Name: Dee Ann Kruger
Title: Administrator, Sec,treas, RN
Phone: (406) 234-4104

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10713 (MT)

Other Assisted Living Facility providers in Montana →

Registry record

NPI: 1770646440
Entity type: Organization
NPI issued: 17 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.