person
Mr. Gary Alan Wingfield
Assisted Living Facility in Missoula, Montana
NPI 1790802593

Gary Alan Wingfield is an Assisted Living Facility based in Missoula, MT. Gary Alan Wingfield practices in Missoula, MT. The NPI Number for Gary Alan Wingfield is 1790802593 and holds a License No. 10995 (Montana).

The current practice location address for Gary Alan Wingfield is 1300 Speedway Ave, Missoula, MT and can be reached out via phone at 406-549-8127 and via fax at 406-542-5202.

Location: 1300 Speedway Ave, Missoula, MT, 59802-5566
person
Provider Profile Details
NPI Number
1790802593
Provider Name
Gary Alan Wingfield
Credential
Provider Entity Type
Individual
Gender
Male
Address
1300 Speedway Ave, Missoula, MT, 59802-5566
Phone Number
406-549-8127
Fax Number
406-542-5202
Provider Enumeration Date
03/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0601477 05 MT
institution
Provider Business Practice Location Address Details
Address
1300 Speedway Ave
City
State
Zip
59802-5566
Phone Number
406-549-8127
Fax Number
406-542-5202
person
Provider Business Mailing Address Details
Address
1300 Speedway Ave
City
State
Zip
59802-5566
Phone Number
406-549-8127
Fax Number
406-542-5202
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
10995 (Montana)
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.
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