| NPI | 1245295237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BREITLING Administrator 605-853-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 40288) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-07-28 |