Organization
INTERGENERATIONAL LIVING & HEALTH CARE, INC.
Active
Other names
INN ON WESTPORT
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GUSTAFSON (PRESIDENT)
(952) 361-8000
Entity
Organization
Contact information
Practice address
4000 S WESTPORT AVE, SIOUX FALLS, SD 57106-2300
(605) 362-1210
(605) 361-8866
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10745
SD
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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