# PIERRE SENIOR LIVING II

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

## Provider details

- **NPI number:** 1467121335
- **Authorized official:** ROBERT BAGDON (COO)
- **Authorized official phone:** (724) 961-6061

## Contact information

- **Practice address:** 1552 E. DAKOTA AVE, PIERRE, SD 57501
- **Practice address phone:** (605) 244-9811
- **Mailing address:** 200 MONTANA AVE, LEAD, SD 57754-1051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2021
- **Last updated:** 09/13/2021