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MOUNTAIN LODGE LLC

1110 BIRCH ST, DOUGLAS, WY 82633

(307) 358-1897

Assisted Living Facility

Facility Information

Facility Name
MOUNTAIN LODGE LLC
Type / Classification
Assisted Living Facility
Address
1110 BIRCH ST, DOUGLAS, WY 82633
Phone Number
(307) 358-1897
NPI Number
1437659877
Authorized Official
R RUDE (President)
Enumeration Date
2018-02-12

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