Organization
RURAL ROOTS PRIVATE NURSING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TILLMA RN (MANAGING MEMBER)
(712) 251-3796
Entity
Organization
Contact information
Practice address
47169 US HIGHWAY 12, TWIN BROOKS, SD 57269-5805
(712) 251-3796
Mailing address
47169 US HIGHWAY 12, TWIN BROOKS, SD 57269-5805
(712) 251-3796
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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