| NPI | 1104169945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE LEE EKSTROM Registered Nurse 605-390-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY 28967) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |