MEDICARE: BUTTE VENTURES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1821408642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTE VENTURES, LLC

Provider Business Mailing Address
First Line	:	300 MOUNT HIGHLAND DR
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-4080
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 MOUNT HIGHLAND DR
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-4080
Country	:	US
Telephone Number	:	406-494-0083
Fax Number	:

Authorized Official
Title or Position	:	CORPORATE CONTROLLER
Name	:	STACI TONE
Credential	:
Telephone Number	:	971-206-5200

Provider Enumeration Date	:	05/01/2014
Last Update Date	:	07/15/2015

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Directions to “BUTTE VENTURES, LLC ” Practice Location

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