| NPI | 1366430662 |
|---|---|
| Doing Business As | SOUTHRIDGE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN JAMES CASEY Administrator 605-338-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10682) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2016-06-22 |