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Organization
STATE HOME CARE SERVICES, INC.
Active
Organization
STATE HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW PATRICK BEEDLE RN (ADMINISTRATOR)
(605) 718-5004
Entity
Organization
Contact information
Practice address
1301 W OMAHA ST STE 208, RAPID CITY, SD 57701-2603
(605) 718-5004
(605) 718-5006
Mailing address
1301 W OMAHA ST STE 208, RAPID CITY, SD 57701-2603
(605) 718-5004
(605) 718-5006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170932
—
SD
Enumeration date
06/14/2005
Last updated
09/14/2021
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