# PIERRE INDIAN LEARNING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225209711
- **Authorized official:** MR. DARRELL JEANOTTE (SUPERINTENDENT)
- **Authorized official phone:** (605) 224-8661

## Contact information

- **Practice address:** 3001 E SULLY AVE, PIERRE, SD 57501-4403
- **Practice address phone:** (605) 224-8861
- **Practice address fax:** (605) 224-0985
- **Mailing address:** 3001 E SULLY AVE, PIERRE, SD 57501-4403
- **Mailing address phone:** (605) 224-8861
- **Mailing address fax:** (605) 224-0985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WS0200X | School Registered Nurse | — | NULL | Yes |
| 163WS0200X | School Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 03/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5153010 | — | SD |