Organization
KISMET ELK LLC
Active
Other names
WEL Home Health Elk Point
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 642-7736
Entity
Organization
Contact information
Practice address
600 E LINCOLN ST, ELK POINT, SD 57025-2284
(605) 356-3894
Mailing address
600 E LINCOLN ST, ELK POINT, SD 57025-2284
(605) 356-3894
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171480
—
SD
Enumeration date
11/16/2005
Last updated
01/16/2019
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