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Organization
EDGEWOOD GREENLEAF SIOUX FALLS LLC
Active
Organization
EDGEWOOD GREENLEAF SIOUX FALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON WHETTER (VP OF BUDGE/FINANCE)
(701) 738-2000
Entity
Organization
Contact information
Practice address
3409 E. 5TH ST., SIOUX FALLS, SD 57103-1235
(605) 275-0074
(605) 275-0076
Mailing address
3409 E. 5TH ST., SIOUX FALLS, SD 57103-1235
(605) 275-0074
(605) 275-0076
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
47882
SD
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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