PRAIRIE ROSE SUITES ASSISTED LIVING
Assisted Living Facility
Lemmon, South Dakota
Provider NPI: 1275570384
Organization Information:Organization Name: PRAIRIE ROSE SUITES ASSISTED LIVING
Practice Location:
405 6TH AVE W LEMMON, SD 57638 US
Tel: 605-374-3871 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:
405 6TH AVE W LEMMON, SD 57638 US
Tel: 605-374-3871 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | SD | 53587 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
9570790 | SD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin