Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Lodge LLC

Organization Assisted Living Facility · NPI 1437659877

Mountain Lodge LLC is an Assisted Living Facility in Douglas, Wyoming. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1110 Birch St
Douglas, WY 82633-2761
Phone: (307) 358-1897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1437659877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R Rude — President · (406) 655-1883
NPI enumeratedFebruary 12, 2018
Last updated in NPPESFebruary 12, 2018
Mailing address1110 Birch St, Douglas, WY 82633-2761

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