Organization
LAKE ANDES HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM J WELLS (ADMINISTRATOR)
(605) 487-7674
Entity
Organization
Contact information
Practice address
740 E LAKE ST, LAKE ANDES, SD 57356-2001
(605) 487-7674
(605) 487-7071
Mailing address
740 E LAKE ST, PO BOX 216, LAKE ANDES, SD 57356-2001
(605) 487-7674
(605) 487-7071
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10638
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151190
—
SD
01
—
85097
BLUE CROSS BLUE SHIELD
SD
Enumeration date
08/09/2005
Last updated
10/23/2008
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