Whalio Doctors

NPI 1366595597

Edgewood Vista

Organisation Assisted Living Facility Missoula, MT

Practice location

Address
2815 Palmer St, Missoula, MT 59808-1643
Phone
(406) 549-9660
Mailing address
PO Box 13336, Grand Forks, ND 58208-3336

Authorised official

Name
Brett Wilkening
Title
Billing
Phone
(701) 738-2000

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10029 (MT)

Registry record

NPI
1366595597
Entity type
Organization
NPI issued
19 Jan 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.