| NPI | 1619544103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KROMAH WILLIAMS Administrator 605-380-7389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2022-10-07 |