Grace Assisted Living

LBN: Rae Ann Moxley
Grace Assisted Living is an health care organization with primary practice located at 459 Conifer Rd , Libby MT 59923-2966. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Rae Ann Moxley can be contacted via phone (406) 295-9980, or through Moxley, Rae Ann via phone (406) 293-9980.

Contact Information

Primary practice address
459 Conifer Rd Libby MT 59923-2966
Phone: (406) 295-9980
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moxley, Rae Ann
Phone: (406) 293-9980

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 0044364-001 Montana

Profile Details

NPI number 1760734149
LBN Legal business name Rae Ann Moxley
DBA Doing business as Grace Assisted Living
Authorized official Moxley, Rae Ann
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2012
Last updated Oct 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760734149 NPPES
Montana Other 0044364-001 MT ST DEPT. OF PUBLIC HEALTH AND HUMAN SERVICES LICENSE FOR ADULT FOSTER HOME

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