Organization
PARKER SCHOOL 60-4
Active
Other names
Parker School 60-4
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VI ENGBRECHT (MEDICAID BILLING AGENT)
(605) 271-0218
Entity
Organization
Contact information
Practice address
715 E 14TH ST, SIOUX FALLS, SD 57104-5151
(605) 271-0218
(605) 271-0220
Mailing address
715 E 14TH ST, SIOUX FALLS, SD 57104-5151
(605) 271-0218
(605) 271-0220
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5152220
—
SD
Enumeration date
10/26/2006
Last updated
09/09/2011
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