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1437659877
MOUNTAIN LODGE LLC
DOUGLAS, WY
NPI
1437659877
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Entity Type
Organization
Authorized Contact
R JOSEPH RUDE
President
406-655-1883
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
MOUNTAIN LODGE LLC
1110 BIRCH ST
DOUGLAS, WY 82633-2761
Phone number: 307-358-1897
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Mailing Address
MOUNTAIN LODGE LLC
1110 BIRCH ST
DOUGLAS, WY 82633-2761
Phone number: 307-358-1897
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