Provider Demographics
NPI:1508745654
Name:ARCHER FAMILY LLC
Entity type:Organization
Organization Name:ARCHER FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MB
Authorized Official - Prefix:
Authorized Official - First Name:DREX
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-539-9803
Mailing Address - Street 1:6660 AMSTERDAM RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:MT
Mailing Address - Zip Code:59741-8315
Mailing Address - Country:US
Mailing Address - Phone:406-539-9803
Mailing Address - Fax:
Practice Address - Street 1:8659 HAGGERTY LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-9256
Practice Address - Country:US
Practice Address - Phone:406-539-1732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility