Provider Demographics
NPI:1043512429
Name:WHITEFISH OPERATIONS LLC
Entity Type:Organization
Organization Name:WHITEFISH OPERATIONS LLC
Other - Org Name:SPRINGS AT WHITEFISH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:406-862-6322
Mailing Address - Street 1:1001 RIVER LAKES PKWY
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8291
Mailing Address - Country:US
Mailing Address - Phone:406-862-6322
Mailing Address - Fax:406-862-6328
Practice Address - Street 1:1001 RIVER LAKES PKWY
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-8291
Practice Address - Country:US
Practice Address - Phone:406-862-6322
Practice Address - Fax:406-862-6328
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SPRINGS LIVING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT12402310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility