Organization
CLARK CARE AND REHABILITATION CENTER LLC
Active
Other names
Clark Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SCHWARTZ (MANAGER)
(201) 635-1195
Entity
Organization
Contact information
Practice address
201 8TH AVE NW, CLARK, SD 57225-1147
(605) 532-3431
(605) 532-3433
Mailing address
201 8TH AVE NW, CLARK, SD 57225-1147
(605) 532-3431
(605) 532-3433
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435058
PTAN
CA
Enumeration date
12/13/2016
Last updated
07/19/2017
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