NPI | 1487641395 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT EISENBEISZ CEO/Administrator 605-225-7580 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10589) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2021-11-03 |