| NPI | 1194809210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MAE RAILE Him/Credentialing 605-284-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-04-14 |