Organization
TIESZEN MEMORIAL HOME INC
Active
Parent organization
TIESZEN MEMORIAL HOME INC
Other names
Parker Assisted Living Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIESZEN MEMORIAL HOME INC
Authorized official
MR. PAUL I ENGBRECHT (CHIEF EXECUTIVE OFFICERS)
(605) 648-3611
Entity
Organization
Contact information
Practice address
312 E STATE ST, MARION, SD 57043-2011
(605) 648-3611
(605) 648-3363
Mailing address
101 E SOUTH ST, PARKER, SD 57053-2163
(605) 648-3611
(605) 648-3363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
50689
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570600
—
SD
Enumeration date
07/24/2009
Last updated
07/24/2009
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