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Organization

CUSTER CARES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL VAN VOORST (ADMINISTRATOR)
(605) 351-6434
Entity
Organization

Contact information

Practice address
1065 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 351-6434
Mailing address
PO BOX 3019, CUSTER, SD 57730-3019

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
313M00000X
Nursing Facility/Intermediate Care Facility
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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