NPI | 1184610339 |
---|---|
Entity Type | Organization |
Authorized Contact | DESIREE DUNCAN Administrator 605-934-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SD 10591) |
Enumeration Date | 2005-09-23 |
Last Update Date | 2020-08-22 |