Organization
WHEATLAND MANAGEMENT
Active
Other names
Timber Creek Village
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA WILSON (ACCOUNTANT)
(217) 342-2870
Entity
Organization
Contact information
Practice address
155 34TH AVE W, HAVRE, MT 59501-6021
(406) 265-3111
Mailing address
PO BOX 771, EFFINGHAM, IL 62401-0771
(217) 342-2870
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
31471
MT
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/20/2014
Last updated
03/20/2025
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