NPI | 1063781763 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD STROSCHEIN Administrator 605-428-5478 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10613) |
Enumeration Date | 2011-12-26 |
Last Update Date | 2013-01-04 |