| NPI | 1891786174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL FLUIT VP, Finance 605-362-5416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2024-12-06 |