Organization
TIESZEN MEMORIAL HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL I ENGBRECHT (CHIEF EXECUTIVE OFFICER)
(605) 648-3611
Entity
Organization
Contact information
Practice address
312 E STATE ST, MARION, SD 57043-2011
(605) 648-3611
(605) 648-3363
Mailing address
312 E STATE ST, MARION, SD 57043-2011
(605) 648-3611
(605) 648-3363
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160650
—
SD
Enumeration date
07/24/2009
Last updated
07/24/2009
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