| NPI | 1699159236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY D CLOWN Assisted Living Administrator 605-964-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 65643) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |