Organization
HEALTH QUEST INC
Active
Other names
Southridge Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JAMES CASEY (ADMINISTRATOR)
(605) 338-9891
Entity
Organization
Contact information
Practice address
3600 S NORTON AVE, SIOUX FALLS, SD 57105-6331
(605) 338-9891
(605) 338-0332
Mailing address
3600 S NORTON AVENUE, SIOUX FALLS, SD 57105
(605) 338-9891
(605) 338-0332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10682
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151330
—
SD
Enumeration date
10/11/2005
Last updated
06/22/2016
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