OrganizationActive
Immanuel Lutheran Corporation
NPI 1649279183 · Skilled Nursing Facility · Kalispell, MT
Provider details
- NPI number
- 1649279183
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Gendreau, Adminstrator.ceo(406) 752-9622
- License
- 10077 (MT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
185 Crestline Ave
Kalispell, MT 59901-3573
Phone: (406) 752-9622
Fax: (406) 752-9615
Approximate (ZIP-level) locationGet directions
Mailing address
185 Crestline Ave
Kalispell, MT 59901-3573
Other names (DBA / former)
- Doing business as
- Immanuel Lutheran Home
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2010-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.