| NPI | 1811054869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT OLSON Administrator 605-859-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SD 10661) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |