Organization
STATE HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW PATRICK BEEDLE RN (ADMINISTRATOR)
(605) 718-5004
Entity
Organization
Contact information
Practice address
1301 W OMAHA ST STE 208, RAPID CITY, SD 57701-2603
(605) 718-5004
(605) 718-5006
Mailing address
1301 W OMAHA ST STE 208, RAPID CITY, SD 57701-2603
(605) 718-5004
(605) 718-5006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170932
—
SD
Enumeration date
06/14/2005
Last updated
09/14/2021
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