Organization · Type 2 NPI

The Willows

Assisted Living Facility · Red Lodge, MT

NPI number 1104186832 Active

Practice location

2475 North Broadway
Red Lodge, MT 59068

Call (406) 446-1020 Map

Fax (406) 446-0294

Mailing address

PO Box 2011
Red Lodge, MT 59068-2011

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	12917 (MT)
Assisted Living Facility	310400000X	12916 (MT)
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

NPI record

NPI: 1104186832
Entity type: Organization (Type 2)
Issued: May 29, 2012
Last updated: Feb 17, 2023
Status: Active
Subpart: Yes of St. John's Lutheran Ministries

Other names

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The Shepherd Cottage and the Sojourner Cottage · doing business as
The Shepherd Cottage and the Sojourner Cottage · doing business as

Authorized official

Mrs. Michelle Deboer, LNHA
Administrator
(406) 628-5013

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104186832

The Willows's National Provider Identifier is 1104186832, issued on May 29, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Red Lodge, MT. The record was last updated on Feb 17, 2023.