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Organization

HEADWATERS ASSISTED LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYLENE FRANKLIN (OWNER)
(406) 531-4450
Entity
Organization

Contact information

Practice address
304 WILSON BUTTE RD, GREAT FALLS, MT 59405-8404
(406) 531-4450
Mailing address
160 BANJO HILL LN, GREAT FALLS, MT 59404-6121
(406) 531-4450

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
01/30/2023
Last updated
10/11/2023
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