| NPI | 1104030717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L PEARSON Administrator 605-492-3615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 10739) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |