| NPI | 1528540317 |
|---|---|
| Doing Business As | AUGUSTA PLACE - A PROSPERA COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | ERIC VANDEN HULL Vice President, Finance 605-362-5510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2020-11-25 |