Organization
PRAIRIE LAKES HOME CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLEEN THOMPSON RN (DIRECTOR)
(605) 882-7851
Entity
Organization
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7841
(605) 882-6703
Mailing address
PO BOX 1210, 401 9TH AVE NW, WATERTOWN, SD 57201-6210
(605) 882-7841
(605) 882-6703
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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