Organization
KISMET SUX LLC
Active
Other names
Embassy Rehab and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 642-7736
Entity
Organization
Contact information
Practice address
206 PORT NEAL RD, SERGEANT BLUFF, IA 51054-8098
(712) 943-3837
Mailing address
600 S FRANKLIN ST, ELK POINT, SD 57025-2144
(605) 356-2622
(605) 356-2704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970471
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457359200
—
IA
Enumeration date
07/13/2005
Last updated
02/27/2019
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