Organization
WESTERN RESOURCES FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN VAN LOAN (EXECUTIVE DIRECTOR)
(605) 718-1930
Entity
Organization
Contact information
Practice address
4110 WINFIELD CT, RAPID CITY, SD 57701-8306
(605) 791-3383
(605) 791-3385
Mailing address
405 E OMAHA ST, SUITE D, RAPID CITY, SD 57701-2975
(605) 718-1930
(605) 718-1933
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
03/25/2015
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