ROSHOLT COUNTRY INN
Alzheimer Center
Rosholt, South Dakota
Provider NPI: 1871600759
Organization Information:Organization Name: ROSHOLT COUNTRY INN
Practice Location:
208 PRAIRIE AVE ROSHOLT, SD 57260 US
Tel: 605-537-4588 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:
208 PRAIRIE AVE ROSHOLT, SD 57260 US
Tel: 605-537-4588 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | SD | 53737 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | SD | 53737 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
9570820 | SD | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin