Organization
PRAIRIE REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE GLASOE OTR/L, CHT (ADMINISTRATOR)
(605) 334-5630
Entity
Organization
Contact information
Practice address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Mailing address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225410001
DME
SD
Enumeration date
11/02/2006
Last updated
08/22/2020
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