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Organization

OGLALA SIOUX TRIBE

Active
Other names
Wicozani Ogna Unke Tapi Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KENDRA E LONE ELK REGISTERED NURSE (PUBLIC HEALTH NURSE)
(605) 867-1704
Entity
Organization

Contact information

Practice address
EAST HIGHWAY 18 AIRPORT ROAD, OGLALA SIOUX TRIBE OST HEALTH ADMINISTRATION, PINE RIDGE, SD 57770-5011
(605) 867-1704
(605) 867-2063
Mailing address
PO BOX 5011, EAST HIWAY 18 AIRPORT ROAD, PINE RIDGE, SD 57770-5011
(605) 867-1704
(605) 867-2063

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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