| NPI | 1952330706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM FLICEK CEO 605-322-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10625) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-02-10 |