Organization
CEDAR VILAGE ASSISTED LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA BOSSMAN (BILLING DEPT)
(605) 665-4606
Entity
Organization
Contact information
Practice address
3111 SHIRLEY BRIDGE AVE, YANKTON, SD 57078-5949
(605) 665-3401
(605) 665-3419
Mailing address
3111 SHIRLEY BRIDGE AVE, YANKTON, SD 57078-5949
(605) 665-3401
(605) 665-3419
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9752630
—
SD
Enumeration date
03/21/2007
Last updated
08/22/2020
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