Organization
PRAIRIE REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE GLASOE OTR/L, CHT (ADMINISTRATOR)
(605) 334-5630
Entity
Organization
Contact information
Practice address
1220 E. HOLLY BLVD, BRANDON, SD 57005
(605) 582-3103
(605) 582-3103
Mailing address
1220 E. HOLLY BLVD, BRANDON, SD 57005
(605) 582-3103
(605) 582-3103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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