| NPI | 1427833649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL VAN VOORST Administrator 605-351-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |