Organization
KADOKA NURSING HOME ASS.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY M SANFTNER (CHIEF OPERATING OFFICER)
(605) 837-2270
Entity
Organization
Contact information
Practice address
103 MAPLE ST, W, KADOKA, SD 57543-0310
(605) 837-2270
(605) 837-2201
Mailing address
103 MAPLE ST, W, P.O.BOX 310, KADOKA, SD 57543-0310
(605) 837-2270
(605) 837-2201
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
10637
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160290
—
SD
Enumeration date
06/29/2007
Last updated
08/22/2020
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