Organization
EDGEWOOD GREENLEAF SISSETON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON WHETTER (VP OF BUDGET/FINANCE)
(701) 738-2000
Entity
Organization
Contact information
Practice address
308 HILLVIEW RD., SISSETON, SD 57262-2300
(605) 698-3500
(605) 742-0548
Mailing address
308 HILLVIEW RD., SISSETON, SD 57262-2300
(605) 698-3500
(605) 742-0548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
41332
SD
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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