Organization
WESTPARK VILLAGE LLC
Active
Other names
WESTPARK VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B GOODMAN (PRESIDENT OF MANAGING MEMBER)
(952) 361-8000
Entity
Organization
Contact information
Practice address
2351 SOLOMON AVE, BILLINGS, MT 59102-2879
(406) 652-4886
(406) 652-5674
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9973
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620245
—
MT
Enumeration date
06/09/2006
Last updated
03/25/2010
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