27D2138084 CLIA NUMBER - EDGEWOOD HELENA SENIOR LIVING LLC

Laboratory Demographics

CLIA Number: 27D2138084

Facility Name: EDGEWOOD HELENA SENIOR LIVING LLC

Facility Address:
3207 COLONIAL DRIVE
HELENA, MT
ZIP 59601
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Facility Phone Number: 406 502-1001

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1700381217

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	27D2138084
LAB Type	Assisted Living Facility
Facility Name	EDGEWOOD HELENA SENIOR LIVING LLC
Street	3207 COLONIAL DRIVE
City	HELENA
State	MT
ZIP	59601
Phone	406 502-1001
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024