Organization
MITCHELL RETIREMENT
Active
Other names
Countryside Living
Organization subpart
No
Provider details
NPI number
Authorized official
VERONNICA J SMITH (ADMINISTRATOR)
(605) 996-1991
Entity
Organization
Contact information
Practice address
2100 N WISCONSIN ST, MITCHELL, SD 57301-1261
(605) 996-1991
(605) 996-5293
Mailing address
2100 N WISCONSIN ST, MITCHELL, SD 57301-1261
(605) 996-1991
(605) 996-5293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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