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Organization

SUN DIAL MANOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY L PEARSON (ADMINISTRATOR)
(605) 492-3615
Entity
Organization

Contact information

Practice address
410 2ND ST S, BRISTOL, SD 57219-0337
(605) 492-3615
(605) 492-3616
Mailing address
PO BOX 337, BRISTOL, SD 57219-0337
(605) 492-3615
(605) 492-3616

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10739
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9570060
SD
Enumeration date
05/10/2007
Last updated
08/22/2020
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