Organization
WESKOTA MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYLEEN R LEE (ADMINISTRATOR)
(605) 539-1621
Entity
Organization
Contact information
Practice address
608 1ST ST NE, WESSINGTON SPRINGS, SD 57382-2134
(605) 539-1621
(605) 539-4502
Mailing address
608 1ST ST NE, WESSINGTON SPRINGS, SD 57382-2134
(605) 539-1621
(605) 539-4502
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
10707
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160300
—
SD
Enumeration date
12/01/2006
Last updated
08/22/2020
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