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1093204398
CHANNEL ASSISTED LIVING LLC
BRYANT, SD
NPI
1093204398
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Entity Type
Organization
Authorized Contact
WADE JOHNSON
Owner
605-520-5469
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: SD 41812)
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
CHANNEL ASSISTED LIVING LLC
410 S BROADWAY ST
BRYANT, SD 57221-2055
Phone number: 605-628-2155
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Mailing Address
CHANNEL ASSISTED LIVING LLC
PO BOX 278
BRYANT, SD 57221-0278
Phone number:
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