Healthcare Provider Details
I. General information
NPI: 1508975616
Provider Name (Legal Business Name): LIBERTY COUNTY HOSPITAL & NURSING HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 6TH ST W
CHESTER MT
59522-7776
US
IV. Provider business mailing address
PO BOX 705
CHESTER MT
59522-0705
US
V. Phone/Fax
- Phone: 406-759-5787
- Fax: 406-759-5012
- Phone: 406-759-5181
- Fax: 406-759-5799
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHERIE
TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 406-873-3736