Organization
CASTLEWOOD ASSISTED LIVING, LLC
Active
Other names
Castlewood Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HALVERSON (MEMBER-PRESIDENT)
(605) 940-4701
Entity
Organization
Contact information
Practice address
108 W MAIN ST, CASTLEWOOD, SD 57223
(605) 793-2234
(605) 793-2171
Mailing address
PO BOX 1202, SIOUX FALLS, SD 57101
(605) 338-8896
(605) 575-0997
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
40126
SD
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9572422
—
SD
Enumeration date
05/15/2006
Last updated
06/24/2015
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