Organization
WAKONDA HERITAGE MANOR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE M GRIFFIN (BUSINESS MANAGER)
(605) 267-2081
Entity
Organization
Contact information
Practice address
515 OHIO ST, WAKONDA, SD 57073-2013
(605) 267-2081
(605) 267-2690
Mailing address
515 OHIO ST, WAKONDA, SD 57073-2013
(605) 267-2081
(605) 267-2690
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10701
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160590
—
SD
Enumeration date
10/06/2005
Last updated
07/10/2013
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