NPI | 1356342851 |
---|---|
Entity Type | Organization |
Authorized Contact | PAM J WELLS Administrator 605-487-7674 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10638) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2008-10-23 |