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CHILDREN'S CARE HOSPITAL AND SCHOOL

Intermediate Care Facility, Mentally Retarded

Sioux Falls, South Dakota

Provider NPI: 1477754950

Organization Information:
Organization Name:  CHILDREN'S CARE HOSPITAL AND SCHOOL


Practice Location:
2501 W 26TH ST  SIOUX FALLS, SD 57105 US
Tel: 605-444-9500  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
0880004IA05
0210010SD05
0169040SD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS SD - Page 1