NPI | 1053556068 |
---|---|
Doing Business As | AVERA PRINCE OF PEACE ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | RONALD J. PLACE President/CEO 605-322-7903 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 46761) |
Enumeration Date | 2008-12-04 |
Last Update Date | 2023-09-14 |