NPI | 1114915881 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA ANN SPENCER Executive Director 605-352-8533 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SD 10634) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2013-09-10 |