Healthcare Provider Details

I. General information

NPI: 1821408642
Provider Name (Legal Business Name): BUTTE VENTURES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT HIGHLAND DR
BUTTE MT
59701-4080
US

IV. Provider business mailing address

300 MOUNT HIGHLAND DR
BUTTE MT
59701-4080
US

V. Phone/Fax

Practice location:
  • Phone: 406-494-0083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: STACI TONE
Title or Position: CORPORATE CONTROLLER
Credential:
Phone: 971-206-5200