Organization Name: | WESTPARK VILLAGE LLC |
NPI Number: | 1255372132 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN B GOODMAN (PRESIDENT OF MANAGING MEMBER) |
Mailing Address: | 2351 Solomon Ave Billings |
State: | MT US |
Postal Code: | 591022879 |
Phone Number: | 4066524886 |
Fax Number: | 4066525674 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 03/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 9973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |