Organization
CITY OF ESTELLINE
Active
Parent organization
CITY OF ESTELLINE
Other names
Estelline Nursing and Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF ESTELLINE
Authorized official
MICHAEL P WARD (ADMINISTRATOR)
(605) 873-2278
Entity
Organization
Contact information
Practice address
205 FJERESTAD AVE E, ESTELLINE, SD 57234-2103
(605) 873-2278
(605) 873-2989
Mailing address
PO BOX 130, ESTELLINE, SD 57234-0130
(605) 873-2278
(605) 873-2989
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
11067
SD
313M00000X
Nursing Facility/Intermediate Care Facility
10617
SD
314000000X
Skilled Nursing Facility
Primary
10617
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151140
—
SD
Enumeration date
10/12/2005
Last updated
06/13/2008
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