NPI | 1235351719 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE VANDE KOP Owner 605-665-1559 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 9571940) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |