Organization
GOLDEN VENTURES LLC
Active
Other names
Kelly's Retirement Homes
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L. STIENBLOCK (ADMINISTRATOR)
(605) 224-5261
Entity
Organization
Contact information
Practice address
615 S JEFFERSON AVE, PIERRE, SD 57501-4118
(605) 224-5261
(605) 224-0769
Mailing address
615 S JEFFERSON AVE, PIERRE, SD 57501-4118
(605) 224-5261
(605) 224-0769
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10728
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9570680
—
SD
Enumeration date
07/12/2007
Last updated
07/12/2007
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