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Organization

LDYBOSS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRA FISK (OWNER/ADMINISTRATOR)
(406) 781-4827
Entity
Organization

Contact information

Practice address
1009 3RD AVE N, GREAT FALLS, MT 59401-1507
(406) 452-6400
(406) 452-2250
Mailing address
1009 3RD AVE N, GREAT FALLS, MT 59401-1507
(406) 452-6400
(406) 452-2250

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001616496
MT
Enumeration date
03/24/2026
Last updated
03/24/2026
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