National Provider Identifier Database

EDGEWOOD KALISPELL SENIOR LIVING LLC
Assisted Living, Behavioral Disturbances

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.


Contact Information

EDGEWOOD KALISPELL SENIOR LIVING LLC
141 INTERSTATE LN
KALISPELL, MT59901-2877
Phone: 406-755-3240
Fax: 406-755-3249
Website:
Specialty Taxonomy Code
* Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for EDGEWOOD KALISPELL SENIOR LIVING LLC

NPI Number 1720246879
Legal business name
LBN
EDGEWOOD KALISPELL SENIOR LIVING LLC
Authorized official BRETT WILKENING - (ACCOUNTS RECEIVABLE)
Entity Organization
Organization subpart No
Enumeration date 05/27/2008
Last updated 05/27/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MT License #: 11325

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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