Organization
BLACK HILLS SPECIAL SERVICES COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE NICOLE LUSK (PROGRAM DIRECTOR)
(605) 224-5336
Entity
Organization
Contact information
Practice address
221 S CENTRAL AVE, PIERRE, SD 57501-2479
(605) 224-5336
(605) 224-8320
Mailing address
221 S CENTRAL AVE, PIERRE, SD 57501-2479
(605) 224-5336
(605) 224-8320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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