NPI | 1639264765 |
---|---|
Other Name | AVERA BORMANN MANOR |
Entity Type | Organization |
Authorized Contact | LINDSAY R WEBER CEO 605-928-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10660) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-12-01 |