Organization
PRAIRIE HOMES ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VANDE KOP (OWNER)
(605) 665-1559
Entity
Organization
Contact information
Practice address
300 E 6TH ST, YANKTON, SD 57078-4000
(605) 665-1559
Mailing address
300 E 6TH ST, YANKTON, SD 57078-4000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9571940
SD
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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