Organization
EDGEWOOD GREENLEAF BROOKINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON WHETTER (VP OF BUDGET/FINANCE)
(701) 738-2000
Entity
Organization
Contact information
Practice address
2015 8TH ST. S., BROOKINGS, SD 57006-3506
(605) 692-6311
(605) 692-1979
Mailing address
2015 8TH ST. S., BROOKINGS, SD 57006-3506
(605) 692-6311
(605) 692-1979
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11055
SD
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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