Organization
ENEMY SWIM DAY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY ANN JOHNSON ED.D (SUPERINTENDENT)
(605) 947-4605
Entity
Organization
Contact information
Practice address
13525 446TH AVE, WAUBAY, SD 57273-5715
(606) 947-4605
(605) 947-4188
Mailing address
13525 446TH AVE, WAUBAY, SD 57273-5715
(606) 947-4605
(605) 947-4188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/19/2006
Last updated
09/23/2008
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