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Organization

LIBBY'S LODGE OF LOVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAUNA LYNN FIRESTONE (OWNER)
14062933334
Entity
Organization

Contact information

Practice address
39042 US HIGHWAY 2, LIBBY, MT 59923-8103
(140) 629-3333
Mailing address
39042 US HIGHWAY 2, LIBBY, MT 59923-8103
(140) 629-3333

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0041013001
MT

Other

Enumeration date
05/20/2010
Last updated
05/20/2010
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