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Organization

MOBRIDGE REGIONAL HOSPITAL

Active
Other names
Prairie Sunset Village
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RENAE LEE TISDALL (CHIEF FINANCIAL OFFICER)
(605) 845-3692
Entity
Organization

Contact information

Practice address
1401 10TH AVE W, MOBRIDGE, SD 57601-1106
(605) 845-3692
(605) 845-8252
Mailing address
1401 10TH AVE W, MOBRIDGE, SD 57601-1106
(605) 845-3692
(605) 845-8252

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
48404
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9571520
SD
Enumeration date
02/14/2007
Last updated
08/22/2020
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