Organization
DAKOTA MILESTONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY A ODENS (BUSINESS MANAGER)
(605) 734-5542
Entity
Organization
Contact information
Practice address
117 E BEEBE AVE, CHAMBERLAIN, SD 57325-1301
(605) 734-5542
(605) 734-4260
Mailing address
PO BOX 248, CHAMBERLAIN, SD 57325-0248
(605) 734-5542
(605) 734-4260
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180060
—
SD
05
—
5180160
—
SD
05
—
9515110
—
SD
Enumeration date
05/06/2009
Last updated
05/06/2009
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