Organization
ADVANCE
Active
Other names
Family Support
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY FRANKLIN (CEO PRESIDENT)
(605) 692-7852
Entity
Organization
Contact information
Practice address
301 DIVISION AVE, BROOKINGS, SD 57006-2952
(605) 692-7852
Mailing address
PO BOX 810, BROOKINGS, SD 57006-0810
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5180110
—
SD
Enumeration date
01/18/2007
Last updated
08/22/2020
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