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Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Trail Ridge Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA R KOTZ (DIRECTOR OF RESIDENT RECEIVABLES)
(402) 639-3008
Entity
Organization
Contact information
Practice address
3408 W RALPH ROGERS RD, SIOUX FALLS, SD 57108-2602
(605) 339-9123
(605) 373-2602
Mailing address
3408 W RALPH ROGERS RD, SUITE 100, SIOUX FALLS, SD 57108-2602
(605) 339-9123
(605) 339-0080
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10744
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570720
—
SD
Enumeration date
10/11/2005
Last updated
05/23/2019
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