Organization
ADULT DAY CENTER OF THE BLACK HILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE BARCLAY (EXECUTIVE DIRECTOR)
(605) 791-0436
Entity
Organization
Contact information
Practice address
4110 WINFIELD ST, RAPID CITY, SD 57701-8306
(605) 791-0436
(605) 791-1106
Mailing address
4110 WINFIELD CT, RAPID CITY, SD 57701-8306
(605) 791-0436
(605) 791-1106
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL137092
SOUTH DAKOTA SECRETARY OF STATE
SD
Enumeration date
10/16/2017
Last updated
04/11/2023
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