Organization
EDGEWOOD HELENA SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TAYLOR MSA (CONTROLLER)
(208) 947-4012
Entity
Organization
Contact information
Practice address
3207 COLONIAL DR, HELENA, MT 59601-8613
(406) 502-1001
Mailing address
12426 W EXPLORER DR STE 220, BOISE, ID 83713-1560
(208) 947-4012
(208) 375-0565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
31509
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31509
THE STATE OF MONTANA DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES
MT
Enumeration date
03/27/2018
Last updated
03/27/2018
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