OrganizationActive
Edgewood Vista
NPI 1366595597 · Assisted Living Facility · Missoula, MT
Provider details
- NPI number
- 1366595597
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brett Wilkening, Billing(701) 738-2000
- License
- 10029 (MT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2815 Palmer St
Missoula, MT 59808-1643
Phone: (406) 549-9660
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13336
Grand Forks, ND 58208-3336
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.