Fay Wookey Memorial, Inc.

NPI 1720143316 - Assisted Living Facility - 310400000X

NPI Details
NPI 1720143316
Enumeration Date 12/26/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GAYLE DONETTE GAYLE
Position ADMINISTRATOR
Phone (605) 532-5799
Fax (605) 532-1320
Practice Location
700 N SMITH ST
CLARK SD, 57225-1120, US
Phone (605) 532-5799
Fax (605) 532-1320
Business Location
700 N SMITH ST
CLARK SD, 57225-1120, US
Phone (605) 532-5799
Fax (605) 532-1320
Toxanomy
Taxonomy Code 310400000X
License State South Dakota
License Number 11038
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According to our database, Fay Wookey Memorial, Inc. NPI is 1720143316, taxonomy code is 310400000X and license number is 11038, license state is located at South Dakota. Fay Wookey Memorial, Inc. physically located at 700 N Smith St, Clark SD, 57225-1120. NPI Number 1033115704 has the healthcare provider type.

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1720143316 NPI number is provided on an as is basis without warranty of any kind. 1720143316 is maintained by the National Plan & Provider Enumeration System. The contents of Fay Wookey Memorial, Inc. are for informational purposes only.