Organization
OUR HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GUBBRUD (EXECUTIVE DIRECTOR)
(605) 352-4368
Entity
Organization
Contact information
Practice address
40354 210TH ST, HURON, SD 57350-7928
(605) 352-9098
Mailing address
334 3RD ST SW, HURON, SD 57350-2418
(605) 352-4368
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
R97
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5169110
—
SD
Enumeration date
10/03/2007
Last updated
10/03/2007
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