Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareCITY OF ESTELLINE
Assisted Living Facility
Estelline, South Dakota
Provider NPI: 1649268608
Organization Information:Organization Name: CITY OF ESTELLINE
Practice Location:
205 FJERESTAD AVE E ESTELLINE, SD 57234 US
Tel: 605-873-2278 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:
205 FJERESTAD AVE E ESTELLINE, SD 57234 US
Tel: 605-873-2278 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | SD | 11067 |
| N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | SD | 10617 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | SD | 10617 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0151140 | SD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin