| NPI | 1649264979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA LAMBERT Billing Specialist 605-763-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10595) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-22 |