| NPI | 1629277223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVON JEAN HUNEKE Manager 605-342-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 11035) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |