| NPI | 1487752424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE GILBERTSON Business Manager 605-938-4418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: SD 10712) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |