Individual provider · Type 1 NPI
Gary Alan Wingfield
Assisted Living Facility · Missoula, MT
NPI number
1790802593
Active
Practice location
1300 Speedway Ave
Missoula, MT 59802-5566
Fax (406) 542-5202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Homemaker | 376J00000X | None listed |
| Assisted Living Facility Primary | 310400000X | 10995 (MT) |
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.
About NPI 1790802593
Gary Alan Wingfield's National Provider Identifier is 1790802593, issued on Mar 25, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Missoula, MT. The record was last updated on Feb 24, 2025.