Organization
HILDAS HERITAGE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH MARIE BUSEMAN (LPN MANAGER)
(605) 647-5515
Entity
Organization
Contact information
Practice address
220 S LINCOLN ST, LENNOX, SD 57039
(605) 647-5515
(605) 647-5502
Mailing address
220 S LINCOLN ST, LENNOX, SD 57039
(605) 647-5515
(605) 647-5502
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10741
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570550
—
SD
Enumeration date
06/06/2007
Last updated
08/07/2007
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