Organization
LIVING LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY F. DAUGETT (SOLE MEMBER MANAGER)
(406) 736-5843
Entity
Organization
Contact information
Practice address
1601 2ND AVE N STE 116, GREAT FALLS, MT 59401-3286
(406) 216-3100
Mailing address
PO BOX 6810, GREAT FALLS, MT 59406
(406) 216-3100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
12/19/2011
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