| NPI | 1922140060 |
|---|---|
| Former Legal Business Name | PRAIRIE FREEDOM CENTER FOR INDEPENDENT LIVING |
| Entity Type | Organization |
| Authorized Contact | MATT J CAIN Chief Executive Officer 605-362-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-01-27 |