Organization
BETHESDA OF BERESFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA K LAMBERT (BILLING SPECIALIST)
(605) 763-2050
Entity
Organization
Contact information
Practice address
606 W CEDAR ST, BERESFORD, SD 57004-1125
(605) 763-2050
(605) 763-2063
Mailing address
606 W CEDAR ST, BERESFORD, SD 57004-1125
(605) 763-2050
(605) 763-2063
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10595
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9572010
—
SD
Enumeration date
03/26/2007
Last updated
11/07/2007
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