NPI | 1982016739 |
---|---|
Entity Type | Organization |
Authorized Contact | AUDREY KOLBECK Business Manager 605-263-3318 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10636) |
Enumeration Date | 2014-05-28 |
Last Update Date | 2014-05-28 |