| NPI | 1750407060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA BOSSMAN Billing Dept 605-665-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |