| NPI | 1164570461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA JEAN BANEK Owner 605-778-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 10762) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |