NPI 1720246879

Edgewood Kalispell Senior Living LLC

Organisation Assisted Living Facility (Behavioral Disturbances) Kalispell, MT

Practice location

Address: 141 Interstate Ln, Kalispell, MT 59901-2877
Phone: (406) 755-3240
Fax: (406) 755-3249
Mailing address: 2850 24th Ave S Suite 201, Grand Forks, ND 58201-5831

Authorised official

Name: Brett Wilkening
Title: Accounts Receivable
Phone: (701) 738-2000

Registered specialties

Assisted Living Facility (Behavioral Disturbances) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0630X Licence 11325 (MT)

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Registry record

NPI: 1720246879
Entity type: Organization
NPI issued: 27 May 2008
Record last updated: 27 May 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.