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1609574227 NPI number — MISSOULA ALF OPERATIONS, LLC

NPI Number: 1609574227
Health Care Provider/Practitioner: MISSOULA ALF OPERATIONS, LLC

Information about “1609574227” NPI (MISSOULA ALF OPERATIONS, LLC) exists in 1609574227 in HTML format HTML  |  1609574227 in plain Text format TXT  |  1609574227 in PDF (Portable Document Format) PDF  |  1609574227 in an XML format XML  formats.

NPI Number : 1609574227 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609574227",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MISSOULA ALF OPERATIONS, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4601 NE 77TH AVE STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VANCOUVER",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98662-6736",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-837-0400",
    "MailingAddressFaxNumber": "360-967-0022",
    "FirstLinePracticeLocationAddress": "3018 RATTLESNAKE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MISSOULA",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59802-6101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-549-0988",
    "PracticeLocationAddressFaxNumber": "406-549-0111",
    "EnumerationDate": "02/22/2023",
    "LastUpdateDate": "10/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YENOWITZ",
    "AuthorizedOfficialFirstName": "YITZCHOK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "AUTHORIZED REPRESENTATIVE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-769-8877",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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