Organization
BLACK HILLS SPECIAL SERVICES COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY GEIS (ACCOUNTS RECEIVABLE CLERK)
(605) 347-4467
Entity
Organization
Contact information
Practice address
2885 DICKSON DRIVE, STURGIS, SD 57785-0218
(605) 347-4467
(605) 347-5223
Mailing address
PO BOX 218, STURGIS, SD 57785-0218
(605) 347-4467
(605) 347-5223
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
5150640
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5150640
—
SD
Enumeration date
01/31/2007
Last updated
08/22/2020
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