Healthcare Provider Details

I. General information

NPI: 1700595071
Provider Name (Legal Business Name): PRICE ASSISTED LIVING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 13TH ST W
COLUMBIA FALLS MT
59912-4215
US

IV. Provider business mailing address

8 DIANE RD APT 5
COLUMBIA FALLS MT
59912-4541
US

V. Phone/Fax

Practice location:
  • Phone: 406-892-4100
  • Fax:
Mailing address:
  • Phone: 406-361-5910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TANNER PRICE
Title or Position: OWNER/ACTING ADMINISTRATOR
Credential:
Phone: 406-361-5910