NPI | 1306964838 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA K LAMBERT Billing Specialist 605-763-2050 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 10595) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-11-07 |