IndividualActive
Gary Wingfield
NPI 1790802593 · Assisted Living Facility · Missoula, MT
Provider details
- NPI number
- 1790802593
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Specialist174400000X
Other Service Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
1300 Speedway Ave
Missoula, MT 59802-5566
Phone: (406) 549-8127
Fax: (406) 542-5202
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Speedway Ave
Missoula, MT 59802-5566
Registry dates
- Enumerated
- 2007-03-25
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.