| NPI | 1033358932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE DAVIDSON COO 605-755-9138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SD 10566) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2018-03-13 |