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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 Specialty Code Provider Type

Assisted Living, Behavioral Disturbances

3104A0630X
Indicates primary specialty

NPI Profile & details for EDGEWOOD KALISPELL SENIOR LIVING LLC

NPI # 1720246879
LBN Legal business name EDGEWOOD KALISPELL SENIOR LIVING LLC
Authorized official BRETT WILKENING - (ACCOUNTS RECEIVABLE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2008
Last updated 05/27/2008 - About 18 years ago
Identifiers
MT License # 11325
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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