Organization
LANTIS ENTERPRISES, INC
Active
Other names
Hillcrest Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MOORE (CHIEF FINANCIAL OFFICER)
(605) 642-7736
Entity
Organization
Contact information
Practice address
1104 HIGHWAY 12, HETTINGER, ND 58639-7533
(701) 567-2401
Mailing address
PO BOX 699, 4755 E COLORADO BLVD, SPEARFISH, SD 57783-0699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
8068A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030148
—
ND
Enumeration date
09/12/2005
Last updated
08/22/2020
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