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1T

1100 TEXAS AVENUE OPERATIONS LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED
Location
DEER LODGE, MT
Licensed since
2006
Rate
Federal identifiers
NPI registry number1821043621
Agency details
Parent orgPEAK MEDICAL MONTANA OPERATIONS LLC
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMICHAEL BERG
TitleASSISTANT SECRETARY
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