Organization
SUN DIAL MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY L PEARSON (ADMINISTRATOR)
(605) 492-3615
Entity
Organization
Contact information
Practice address
410 2ND ST S, BRISTOL, SD 57219-0337
(605) 492-3615
(605) 492-3616
Mailing address
PO BOX 337, 410 2ND STREET, BRISTOL, SD 57219-0337
(605) 492-3615
(605) 492-3616
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10598
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016150
—
SD
Enumeration date
11/19/2005
Last updated
08/22/2020
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