Organization
WALWORTH COUNTY CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J BIEL OWNER (BOARD PRESIDENT)
(605) 649-7288
Entity
Organization
Contact information
Practice address
4861 LINCOLN AVE, SELBY, SD 57472-2036
(605) 649-7663
Mailing address
3416 MAIN ST, SELBY, SD 57472-2015
(605) 649-7288
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS154068
SECRETARY OF STATE SOUTH DAKOTA
SD
Enumeration date
11/02/2018
Last updated
11/02/2018
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