NPI 1700062957

Edgewood Missoula Senior Living LLC

Organisation Alzheimer Center (Dementia Center) Missoula, MT

Practice location

Address: 2815 Palmer St, Missoula, MT 59808-1643
Phone: (406) 549-9660
Fax: (406) 549-4424
Mailing address: 2850 24th Ave S Suite 201, Grand Forks, ND 58201-5831

Authorised official

Name: Gene Hysjulien
Title: Ceo
Phone: (701) 738-2000

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 11326 (MT)

Other Alzheimer Center (Dementia Center) providers in Montana →

Registry record

NPI: 1700062957
Entity type: Organization
NPI issued: 18 Jan 2008
Record last updated: 18 Jan 2008

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.