NPI | 1083693584 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL I ENGBRECHT CEO 605-648-3611 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 41974) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: SD 10647) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2020-08-22 |