| NPI | 1376702605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LYNN ROEHRICH Adm/Lpn 605-532-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 11043) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |