Organization
BISHOP DUDLEY HOSPITALITY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA K ORMBERG (CASE MANAGEMENT COORDINATOR)
(605) 809-8416
Entity
Organization
Contact information
Practice address
101 N INDIANA AVE, SIOUX FALLS, SD 57103-1627
(605) 809-8416
Mailing address
101 N INDIANA AVE, SIOUX FALLS, SD 57103-1627
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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