NPI | 1356348809 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID A ROGERS Administrator 605-345-3331 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10706) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2010-03-11 |