NPI | 1164613279 |
---|---|
Entity Type | Organization |
Authorized Contact | DALE STERN Owner/ Administrator 605-996-2221 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 10655) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: SD 10654) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |