Organization
SUNSET MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY KOLBECK (BUSINESS MANAGER)
(605) 263-3318
Entity
Organization
Contact information
Practice address
129 E CLAY ST, IRENE, SD 57037-2034
(605) 263-3318
(605) 263-3334
Mailing address
129 E CLAY ST, IRENE, SD 57037-2034
(605) 263-3318
(605) 263-3334
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10636
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160110
—
SD
01
—
435100
MEDICARE PTAN
SD
Enumeration date
05/28/2014
Last updated
05/28/2014
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