Organization
THE VICTORIAN ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVON JEAN HUNEKE RN (MANAGER)
(605) 342-1913
Entity
Organization
Contact information
Practice address
1321 COLUMBUS ST, RAPID CITY, SD 57701-2524
(605) 342-1913
(605) 348-2870
Mailing address
1321 COLUMBUS ST, RAPID CITY, SD 57701-2524
(605) 342-1913
(605) 348-2870
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11035
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570740
—
SD
Enumeration date
07/13/2007
Last updated
07/13/2007
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