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SOUTH DAKOTA DEVELOPMENTAL CENTER

Intermediate Care Facility, Mentally Retarded

Redfield, South Dakota

Provider NPI: 1548391022

Organization Information:
Organization Name:  SOUTH DAKOTA DEVELOPMENTAL CENTER


Practice Location:
17267 W 3RD ST  REDFIELD, SD 57469 US
Tel: 605-472-2400  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
0169020SD05
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