Greenleaf Assisted Living, Inc.

NPI 1457561805 - Assisted Living Facility - 310400000X

NPI Details
NPI 1457561805
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CONSTANTINE GEORGE CONSTANTINE
Position OWNER AND OPERATIONS OFFICER
Phone (605) 997-2775
Fax (605) 997-3859
Practice Location
800 S WIND ST
FLANDREAU SD, 57028-2008, US
Phone (605) 997-2775
Fax (605) 997-3859
Business Location
PO BOX 8594
BROOKINGS SD, 57006-8594, US
Phone (605) 692-1230
Fax (605) 692-1241
Toxanomy
Taxonomy Code 310400000X
License State South Dakota
License Number 46723
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According to our database, Greenleaf Assisted Living, Inc. NPI is 1457561805, taxonomy code is 310400000X and license number is 46723, license state is located at South Dakota. Greenleaf Assisted Living, Inc. physically located at 800 S Wind St, Flandreau SD, 57028-2008. NPI Number 1033115704 has the healthcare provider type.

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1457561805 NPI number is provided on an as is basis without warranty of any kind. 1457561805 is maintained by the National Plan & Provider Enumeration System. The contents of Greenleaf Assisted Living, Inc. are for informational purposes only.