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Mountain Lodge Llc
Assisted Living Facility in Douglas, Wyoming
NPI 1437659877

Mountain Lodge Llc is an Assisted Living Facility based in Douglas, WY. Mountain Lodge Llc practices in Douglas, WY. The NPI Number for Mountain Lodge Llc is 1437659877 and holds a License No. (Wyoming).

The current practice location address for Mountain Lodge Llc is 1110 Birch St, Douglas, WY and can be reached out via phone at 307-358-1897.

Location: 1110 Birch St, Douglas, WY, 82633-2761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437659877
Provider Name
Mountain Lodge Llc
Credential
Provider Entity Type
Organization
Address
1110 Birch St, Douglas, WY, 82633-2761
Phone Number
307-358-1897
Fax Number
Provider Enumeration Date
02/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1110 Birch St
City
Douglas
State
Wyoming
Zip
82633-2761
Phone Number
307-358-1897
Fax Number
person
Provider Business Mailing Address Details
Address
1110 Birch St
City
Douglas
State
Wyoming
Zip
82633-2761
Phone Number
307-358-1897
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
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.
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