Organization
FAY WOOKEY MEMORIAL, INC.
Active
Other names
Fay Wookey Memorial Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLE DONETTE WOOKEY (ADMINISTRATOR)
(605) 532-5799
Entity
Organization
Contact information
Practice address
700 N SMITH ST, CLARK, SD 57225-1120
(605) 532-5799
(605) 532-1320
Mailing address
700 N SMITH ST, CLARK, SD 57225-1120
(605) 532-5799
(605) 532-1320
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11038
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570180
—
SD
Enumeration date
12/26/2006
Last updated
08/22/2020
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