| NPI | 1730319013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNALLE K RUST Administrator 605-628-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 41812) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |