| NPI | 1346495017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L KENNEDY Manager 605-721-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: SD 47608) |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2008-11-23 |