| NPI | 1922219039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY RITA MITZEL Manager Lpn 605-437-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 10627) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-07-08 |