NPI | 1740275288 |
---|---|
Doing Business As | VALLE VISTA MANOR |
Entity Type | Organization |
Authorized Contact | MICHAEL MOORE CFO 605-642-7736 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 10147) |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2005-09-12 |
Last Update Date | 2023-05-17 |