Organization
MBK INC
Active
Other names
Meadow Lake Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK B. KAPELLE (PRES.)
(605) 530-2794
Entity
Organization
Contact information
Practice address
17444 MEADOW LAKE RD, WATERTOWN, SD 57201-9181
(605) 882-4388
(605) 882-4388
Mailing address
17444 MEADOW LAKE RD, WATERTOWN, SD 57201-9181
(605) 882-4388
(605) 882-4388
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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