Organization
COLOME'S ROSE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P.S. STANDS BY EAR (ADMINISTRATOR)
(605) 842-0234
Entity
Organization
Contact information
Practice address
317 MAIN ST, COLOME, SD 57528-2101
(605) 842-0234
(605) 842-0323
Mailing address
317 MAIN ST, COLOME, SD 57528-2101
(605) 842-0234
(605) 842-0323
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9571970
—
SD
Enumeration date
06/17/2008
Last updated
06/17/2008
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