Organization
ELLEN STEPHEN HOSPICE AND HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALAN WILLIAMS RN (DIRECTOR/RN)
(605) 455-1217
Entity
Organization
Contact information
Practice address
1 MAIN, KYLE, SD 57752
(605) 455-1217
(605) 455-1218
Mailing address
PO BOX 488, KYLE, SD 57752-0488
(605) 455-1217
(605) 455-1218
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171420
—
SD
Enumeration date
11/30/2005
Last updated
07/21/2022
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