Organization · Type 2 NPI
Mountain Lodge LLC
Assisted Living Facility · Douglas, WY
NPI number
1437659877
Active
Practice location
1110 Birch St
Douglas, WY 82633-2761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
Another provider at this address
Other assisted living facility providers in Douglas
About NPI 1437659877
Mountain Lodge LLC's National Provider Identifier is 1437659877, issued on Feb 12, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Douglas, WY. The record was last updated on Feb 12, 2018.