| NPI | 1184749905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXIE KJOS Administrator 605-486-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10673) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |