NPI | 1821099102 |
---|---|
Doing Business As | PRAIRIE ESTATES CARE CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL L. MOORE Chief Financial Officer 605-642-7736 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10615) |
Additional Taxonomies | 385H00000X Respite Care |
Enumeration Date | 2005-08-09 |
Last Update Date | 2020-06-29 |