Organization
WONDERFUL-HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE K LEWIS (CO-OWNER)
(267) 304-8811
Entity
Organization
Contact information
Practice address
7708 W ELI CT, SIOUX FALLS, SD 57106-7203
(267) 304-8811
Mailing address
7708 W ELI CT, SIOUX FALLS, SD 57106-7203
(267) 304-8811
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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