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Organization

STRAND-KJORSVIG COMMUNITY REST HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANN KJOS RN (ADMINISTRATOR)
(605) 486-4523
Entity
Organization

Contact information

Practice address
801 S MAIN ST, ROSLYN, SD 57261-0195
(605) 486-4523
(605) 486-4376
Mailing address
801 SOUTH MAIN STREET, ROSLYN, SD 57261-0195
(605) 486-4523
(605) 486-4376

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0083
SD
314000000X
Skilled Nursing Facility
10673
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160140
SD
05
9566260
SD
05
9572380
SD
Enumeration date
08/13/2008
Last updated
02/16/2009
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