Organization
MONUMENT HEALTH NETWORK, INC
Active
Other names
Monument Health Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MARK K SCHULTE (VP RAPID CITY MARKET)
(605) 720-2411
Entity
Organization
Contact information
Practice address
423 N 10 ST, CUSTER, SD 57730
(605) 673-5588
(605) 673-4462
Mailing address
423 N 10 ST, CUSTER, SD 57730
(605) 673-5588
(605) 673-4462
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
41208
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760483713
NPI
SD
05
—
9572070
—
SD
Enumeration date
08/02/2005
Last updated
01/13/2022
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