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Organization subpart
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Provider details

NPI number
Authorized official
MICHELLE MARIE TEN EYCK (OWNER)
(605) 351-5731
Entity
Organization

Contact information

Practice address
211 S FRED ST, EGAN, SD 57024-2150
(605) 351-5731
Mailing address
211 S FRED ST, EGAN, SD 57024-2150
(605) 351-5731

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
385H00000X
Respite Care

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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