| NPI | 1093708075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOORE CFO 605-642-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10076) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-12-14 |