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Organization
ADVANCE
Active
Organization
ADVANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY FRANKLIN (CEO PRESIDENT)
(605) 692-7852
Entity
Organization
Contact information
Practice address
301 DIVISION AVE, BROOKINGS, SD 57006-2952
(605) 692-7852
Mailing address
PO BOX 810, BROOKINGS, SD 57006-0810
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180050
—
SD
Enumeration date
01/17/2007
Last updated
08/22/2020
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