Organization
MEDICINE WHEEL VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY D CLOWN (ASSISTED LIVING ADMINISTRATOR)
(605) 964-8155
Entity
Organization
Contact information
Practice address
24266 AIRPORT RD, EAGLE BUTTE, SD 57625
(605) 964-8155
(605) 964-8158
Mailing address
24266 AIRPORT RD, EAGLE BUTTE, SD 57625
(605) 964-8155
(605) 964-8158
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
65643
SD
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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