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Organization

PONDEROSA APARTMENTS, INC

Active
Other names
Spearfish Nutrition Site
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA K CLINE (DIRECTOR)
(605) 642-6613
Entity
Organization

Contact information

Practice address
430 ORIOLE DR, SPEARFISH, SD 57783-1538
(605) 642-6613
(605) 642-6421
Mailing address
430 ORIOLE DR, SPEARFISH, SD 57783-1538
(605) 642-6613
(605) 642-6421

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary

Other

Enumeration date
10/20/2006
Last updated
06/24/2008
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