OrganizationActive
Ivy at Deer Lodge LLC
NPI 1356988349 · Skilled Nursing Facility · Deer Lodge, MT
Provider details
- NPI number
- 1356988349
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Coane, Chief Operating Officer(305) 912-9260
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Suppliers
Practice location
1100 Texas Ave
Deer Lodge, MT 59722-1829
Phone: (406) 846-1655
Approximate (ZIP-level) locationGet directions
Mailing address
9429 Harding Ave # 141
Surfside, FL 33154-2803
Registry dates
- Enumerated
- 2019-12-09
- Last updated
- 2021-01-12
- Certified
- 2021-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.