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Organization
1208 JENNINGS, INC.
Active
Organization
1208 JENNINGS, INC.
Active
Other names
Homewatch CareGivers of South Dakota
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM DRAPER CSA (MANAGING DIRECTOR)
(605) 275-6688
Entity
Organization
Contact information
Practice address
326 E 8TH ST, SUITE 104, SIOUX FALLS, SD 57103-7029
(605) 275-6688
(605) 275-6686
Mailing address
326 E 8TH ST, SUITE 104, SIOUX FALLS, SD 57103-7029
(605) 275-6688
(605) 275-6686
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5195070
—
SD
Enumeration date
02/08/2007
Last updated
08/22/2020
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