NPI 1407909633

Edgewood Vista

Organisation Assisted Living Facility Kalispell, MT

Practice location

Address: 141 Interstate Ln, Kalispell, MT 59901-2877
Phone: (406) 755-3240
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 10883 (MT)

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Registry record

NPI: 1407909633
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.