Individual provider · Type 1 NPI
Kenton Irvine
Assisted Living Facility · Ennis, MT
NPI number
1689098253
Active
Practice location
200 W Fagin St
Ennis, MT 59729-8923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 12601 (MT) |
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.
Another provider at this address
About NPI 1689098253
Kenton Irvine's National Provider Identifier is 1689098253, issued on Feb 18, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Ennis, MT. The record was last updated on Feb 18, 2014.