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General NPI Number Information
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NPI Number | 1346479128
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Entity Type | Organization
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Legal Business Name | PARKHAVEN GROUP, INC.
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 100 HAMILTON CT
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City | MANHATTAN
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State | MT
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Zip | 59741-8160
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Country | US
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Telephone | 406-282-7488
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Fax | 406-284-7128
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Provider Business Mailing Address
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Address Line | 100 HAMILTON CT
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City | MANHATTAN
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State | MT
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Zip | 59741-8160
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Country | US
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Telephone | 406-282-7488
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Fax | 406-284-7128
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CRYSTAL D HAMILTON
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Credential |
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Telephone | 406-282-7488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11860
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License Number State | MT
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