CASTLEWOOD ASSISTED LIVING, LLC
Assisted Living Facility
Castlewood, South Dakota
Provider NPI: 1831140680
Organization Information:Organization Name: CASTLEWOOD ASSISTED LIVING, LLC
Practice Location:
108 W MAIN ST CASTLEWOOD, SD 57223 US
Tel: 605-793-2234 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
108 W MAIN ST CASTLEWOOD, SD 57223 US
Tel: 605-793-2234 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | SD | 40126 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
9572422 | SD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin