Organization · Type 2 NPI
Headwaters Assisted Living LLC
Assisted Living Facility · Great Falls, MT
NPI number
1619683984
Active
Practice location
304 Wilson Butte Rd
Great Falls, MT 59405-8404
Mailing address
160 Banjo Hill Ln
Great Falls, MT 59404-6121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1619683984
Headwaters Assisted Living LLC's National Provider Identifier is 1619683984, issued on Jan 30, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Great Falls, MT. The record was last updated on Oct 11, 2023.