Organization
AURORA BRULE NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERASA I GILLEN (ADMINISTRATOR)
(605) 249-2216
Entity
Organization
Contact information
Practice address
408 S. JOHNSTON ST., WHITE LAKE, SD 57383
(605) 249-2216
(605) 249-2599
Mailing address
408 S. JOHNSTON ST., WHITE LAKE, SD 57383
(605) 249-2216
(605) 249-2599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10709
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160020
—
SD
01
—
9570040
ASSISTED LIVING WAVIER
SD
Enumeration date
06/22/2006
Last updated
03/09/2015
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