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Organization
FAY WOOKEY MEMORIAL, INC.
Active
Organization
FAY WOOKEY MEMORIAL, INC.
Active
Other names
Fay Wookey Memorial Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLE DONETTE WOOKEY (ADMINISTRATOR)
(605) 532-5799
Entity
Organization
Contact information
Practice address
700 N SMITH ST, CLARK, SD 57225-1120
(605) 532-5799
(605) 532-1320
Mailing address
700 N SMITH ST, CLARK, SD 57225-1120
(605) 532-5799
(605) 532-1320
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11038
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570180
—
SD
Enumeration date
12/26/2006
Last updated
08/22/2020
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