Organization
MOREAU-GRAND ELECTRIC COOPERATIVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA D MAHER (MANAGER)
(605) 865-3511
Entity
Organization
Contact information
Practice address
405 9TH ST, TIMBER LAKE, SD 57656-0008
(605) 865-3511
(605) 865-3340
Mailing address
405 9TH ST, PO BOX 8, TIMBER LAKE, SD 57656-0008
(605) 865-3511
(605) 865-3340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9560490
DEPT OF SOCIAL SERVICES
SD
Enumeration date
10/04/2006
Last updated
03/05/2008
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