NPI | 1639383946 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANTINE GEORGE CHAMALES Owner And Operations Officer 605-692-1230 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 11055) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |