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Organization

ROETELL SENIOR HOUSING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET LYNN ROEHRICH LPN (ADM/LPN)
(605) 532-5430
Entity
Organization

Contact information

Practice address
108 S SMITH ST, CLARK, SD 57225-1627
(605) 532-5430
Mailing address
108 S SMITH ST, CLARK, SD 57225-1627
(605) 532-5430

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11043
SD

Other

Enumeration date
06/02/2008
Last updated
06/02/2008
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