is a Skilled Nursing Facility in Ipswich, South Dakota. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1679524276. The last update date is .
's current location address is 617 Bloemendaal Dr, Ipswich, South Dakota. You can contact this provider via phone number 6054256622 and fax number 6054266565. The mailing address for is 617 Bloemendaal Dr, Ipswich, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 617 Bloemendaal Dr, Ipswich, South Dakota |
| Phone Number | 6054256622 |
| Fax Number | 6054266565 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679524276 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 617 Bloemendaal Dr |
|---|---|
| City | Ipswich |
| State | South Dakota (SD) |
| Post Code | 574512019 |
| Phone Number | 6054256622 |
| Fax Number | 6054266565 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 10635 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150892 | SD | -- |
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