| NPI | 1811065618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEEN R LEE Administrator 605-539-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SD 10707) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |