Organization
THE VILLAGE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY CARLSON (ADMINISTRATOR)
(605) 854-9953
Entity
Organization
Contact information
Practice address
401 INGALLS AVE SW, DE SMET, SD 57231-2234
(605) 854-9953
(605) 854-9303
Mailing address
401 INGALLS AVE SW, DE SMET, SD 57231-2234
(605) 854-9953
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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