Provider Demographics
NPI:1073678512
Name:PARK VIEW CARING LLC
Entity Type:Organization
Organization Name:PARK VIEW CARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:406-234-4104
Mailing Address - Street 1:106 S STREVELL AVE
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-3746
Mailing Address - Country:US
Mailing Address - Phone:406-234-4104
Mailing Address - Fax:
Practice Address - Street 1:106 S STREVELL AVE
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-3746
Practice Address - Country:US
Practice Address - Phone:406-234-4104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10439310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility