| NPI | 1649252040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L PEARSON Administrator 605-492-3615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10598) |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2020-08-22 |