NPI | 1104976356 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNA JO LOECKER Administrator 605-665-7255 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 46906) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2020-08-22 |