Healthcare Provider Details

I. General information

NPI: 1346479128
Provider Name (Legal Business Name): PARKHAVEN GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HAMILTON CT
MANHATTAN MT
59741-8160
US

IV. Provider business mailing address

100 HAMILTON CT
MANHATTAN MT
59741-8160
US

V. Phone/Fax

Practice location:
  • Phone: 406-282-7488
  • Fax: 406-284-7128
Mailing address:
  • Phone: 406-282-7488
  • Fax: 406-284-7128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number11860
License Number StateMT

VIII. Authorized Official

Name: CRYSTAL D HAMILTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-282-7488