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General NPI Number Information
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NPI Number | 1518371244
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Entity Type | Organization
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Legal Business Name | WHEATLAND MANAGEMENT
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 155 34TH AVE W
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City | HAVRE
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State | MT
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Zip | 59501-6021
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Country | US
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Telephone | 406-265-3111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 771
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City | EFFINGHAM
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State | IL
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Zip | 62401-0771
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Country | US
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Telephone | 217-342-2870
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | SANDRA WILSON
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Credential |
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Telephone | 217-342-2870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 31471
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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