Organization · Type 2 NPI

1130 Seventeenth Avenue Operations LLC

Skilled Nursing Facility · Great Falls, MT

NPI number 1063459501 Active

Practice location

1130 17th Ave S
Great Falls, MT 59405-4523

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	12680 (MT)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1063459501

1130 Seventeenth Avenue Operations LLC's National Provider Identifier is 1063459501, issued on Jun 1, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Great Falls, MT. The record was last updated on May 17, 2016.