| NPI | 1366609067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNALLE K RUST Administrator 605-628-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 41812) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |