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Organization

FAULKTON HEALTHCARE CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization

Contact information

Practice address
1401 PEARL ST, FAULKTON, SD 57438-2240
(605) 598-6214
Mailing address
1401 PEARL ST, FAULKTON, SD 57438-2240

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10619
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0151340
SD
01
85084
WELLMARK
05
9571530
SD
Enumeration date
02/01/2006
Last updated
11/04/2008
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