Provider Demographics
NPI:1891057477
Name:THE HEIGHTS
Entity Type:Organization
Organization Name:THE HEIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NIAOBI
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:WILBER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:406-829-8262
Mailing Address - Street 1:901 BEN HOGAN DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-2402
Mailing Address - Country:US
Mailing Address - Phone:406-829-8262
Mailing Address - Fax:
Practice Address - Street 1:901 BEN HOGAN DR
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-2402
Practice Address - Country:US
Practice Address - Phone:406-829-8262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT13038310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility