Provider Demographics
NPI:1740510841
Name:LIVING LIFE LLC
Entity type:Organization
Organization Name:LIVING LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHOBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-216-3100
Mailing Address - Street 1:1601 2ND AVE N STE 232
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-3286
Mailing Address - Country:US
Mailing Address - Phone:406-216-3100
Mailing Address - Fax:406-216-2139
Practice Address - Street 1:1601 2ND AVE N STE 232
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3286
Practice Address - Country:US
Practice Address - Phone:406-216-3100
Practice Address - Fax:406-216-2139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLIVGLIFE320900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No347C00000XTransportation ServicesPrivate Vehicle