| NPI | 1255333803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN DIEKMAN Administrator 605-886-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10703) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |