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Organization
CACTUS HILLS RETIREMENT
Active
Organization
CACTUS HILLS RETIREMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA C NEVILLE (ADMINISTRATOR)
(605) 662-5602
Entity
Organization
Contact information
Practice address
908 H STR, EDGEMONT, SD 57735-0689
(605) 662-5602
(605) 662-5189
Mailing address
PO BOX 689, EDGEMONT, SD 57735-0689
(605) 662-5602
(605) 662-5189
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9540290
ADULT DAY CARE
SD
05
—
9571140
—
SD
Enumeration date
05/22/2008
Last updated
05/22/2008
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