HILLSIDE HEALTH CARE CENTER, LLC
Assisted Living Facility
Missoula, Montana
Provider NPI: 1609811306
Organization Information:Organization Name: HILLSIDE HEALTH CARE CENTER, LLC
Practice Location:
4718 23RD AVE SUITE 300 MISSOULA, MT 59803 US
Tel: 406-251-5100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4718 23RD AVE SUITE 300 MISSOULA, MT 59803 US
Tel: 406-251-5100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MT | 10323 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0612482 | MT | 05 | |
840174 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin