| Headwaters Assisted Living Llc | |
|
304 Wilson Butte Rd Great Falls MT 59405-8404 | |
| (406) 531-4450 | |
| Not Available |
| Full Name | Headwaters Assisted Living Llc |
|---|---|
| Speciality | Assisted Living Facility |
| Location | 304 Wilson Butte Rd, Great Falls, Montana |
| Authorized Official Name and Position | Raylene Franklin (OWNER) |
| Authorized Official Contact | 4065314450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headwaters Assisted Living Llc 160 Banjo Hill Ln Great Falls MT 59404-6121 Ph: (406) 531-4450 | Headwaters Assisted Living Llc 304 Wilson Butte Rd Great Falls MT 59405-8404 Ph: (406) 531-4450 |
| NPI Number | 1619683984 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619683984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | Primary |
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