| NPI | 1518969203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN L LIND Administrator 605-997-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10620) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |