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Contact Information

EDGEWOOD MISSOULA SENIOR LIVING LLC
2815 PALMER ST
MISSOULA, MT59808-1643
 Phone: 406-549-9660
 Fax: 406-549-4424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
Indicates primary specialty

NPI Profile & details for EDGEWOOD MISSOULA SENIOR LIVING LLC

NPI Number 1700062957
LBN Legal business name EDGEWOOD MISSOULA SENIOR LIVING LLC
Authorized official GENE HYSJULIEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2008
Last updated 01/18/2008 - About 18 years ago
Identifiers
MT License # 11326
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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