Provider First Line Business Practice Location Address:
105 N WHITEHALL ST
Provider Second Line Business Practice Location Address:
ALTACARE
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59759-7713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-287-3882
Provider Business Practice Location Address Fax Number:
406-497-7918
Provider Enumeration Date:
10/24/2008