Organization
OGLALA LAKOTA COLLEGE- HEAD START/ EARLY HEAD START PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDEE PALMER (HEALTH COORDINATOR)
(605) 455-6125
Entity
Organization
Contact information
Practice address
490 PIYA WICONI ROAD, KYLE, SD 57752
(605) 455-6125
(605) 455-6116
Mailing address
PO BOX 490, 490 PIYA WICONI ROAD, KYLE, SD 57752
(605) 455-6125
(605) 455-6116
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1011-8308-RS
SD
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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