| NPI | 1336130004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PETER CORNELIUS Administrator/CEO 605-698-7693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10685) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-11-14 |