| NPI | 1770968554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN MUHUMED GUDAL Manager 605-251-5174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |