Mountain Lodge LLC
NPI #1437659877 in Douglas, Wyoming
Provider Information
- NPI Number
- 1437659877
- Entity Type
- Organization
- Organization Name
- Mountain Lodge LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 12, 2018
- Last Updated
- Feb 12, 2018
Practice Location
Authorized Official
- Name
- R JOSEPH RUDE
- Title
- PRESIDENT
- Phone
- (406) 655-1883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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