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TCC HOLDINGS CORPORATION

Assisted Living Facility

Bridgewater, South Dakota

Provider NPI: 1861480303

Organization Information:
Organization Name:  TCC HOLDINGS CORPORATION


Practice Location:
901 N MAIN AVE  BRIDGEWATER, SD 57319 US
Tel: 605-729-2525  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
SD49737
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
SD10597

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD85115SD01
9566770SD05
9570430SD05
0160352SD05
9566750SD05
9570580SD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ASSISTED LIVING JOBS SD - Page 1



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