| NPI | 1730815176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT BERHE HABITE Operator/Owner 605-496-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |