Organization
HILLSIDE HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A WEICHERT (AUTHORIZED OFFICIAL)
(952) 361-8000
Entity
Organization
Contact information
Practice address
4718 23RD AVE, SUITE 300, MISSOULA, MT 59803-1163
(406) 251-5100
(406) 251-4278
Mailing address
1107 HAZELTINE BLVD STE 200, CHASKA, MN 55318-1070
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10323
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0612482
—
MT
05
—
840174
—
MT
Enumeration date
06/17/2006
Last updated
10/16/2017
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