| NPI | 1033312269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH MARIE BUSEMAN Lpn Manager 605-647-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 10741) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-08-07 |