| NPI | 1154367571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERASA I GILLEN Administrator 605-249-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10709) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-03-09 |