# WISDOM IN AGE LLC

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

## Provider details

- **NPI number:** 1346495017
- **Authorized official:** MS. VICKI L KENNEDY (MANAGER)
- **Authorized official phone:** (605) 721-9473

## Contact information

- **Practice address:** 3704 W MAIN ST, RAPID CITY, SD 57702-2139
- **Practice address phone:** (605) 721-9473
- **Mailing address:** 3704 W MAIN ST, RAPID CITY, SD 57702-2139
- **Mailing address phone:** (605) 721-9473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 47608 | SD | Yes |

## Other

- **Enumeration date:** 11/23/2008
- **Last updated:** 11/23/2008