Organization
HOME AWAY FROM HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A GUCKENBERG (OWNER)
(406) 250-3941
Entity
Organization
Contact information
Practice address
39042 US HIGHWAY 2, LIBBY, MT 59923-8103
(406) 250-3941
Mailing address
PO BOX 535, EUREKA, MT 59917-0535
(406) 250-3941
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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