Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Trail Ridge Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA R KOTZ (DIRECTOR OF RESIDENT RECEIVABLES)
(402) 639-3008
Entity
Organization
Contact information
Practice address
3408 W RALPH ROGERS RD, SIOUX FALLS, SD 57108-2602
(605) 339-9123
(605) 373-2602
Mailing address
3408 W RALPH ROGERS RD, SUITE 100, SIOUX FALLS, SD 57108-2602
(605) 339-9123
(605) 339-0080
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10744
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570720
—
SD
Enumeration date
10/11/2005
Last updated
05/23/2019
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