Organization
JENKINS LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN DIEKMAN (ADMINISTRATOR)
(605) 886-5777
Entity
Organization
Contact information
Practice address
215 S MAPLE, WATERTOWN, SD 57201-4316
(605) 886-5777
(605) 886-0790
Mailing address
215 S MAPLE, WATERTOWN, SD 57201-4316
(605) 886-5777
(605) 886-0790
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10703
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150230
—
SD
Enumeration date
08/12/2005
Last updated
08/22/2020
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