Prairie Lakes Healthcare

NPI 1073543450 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1073543450
Enumeration Date 07/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL E MICHAEL
Position CFO
Phone (605) 882-7000
Fax (605) 882-7607
Practice Location
415 4TH AVE NE
WATERTOWN SD, 57201-2614, US
Phone (605) 882-7000
Fax (605) 882-7607
Business Location
401 9TH AVE NW
WATERTOWN SD, 57201-1548, US
Phone (605) 882-7000
Fax (605) 882-7607
Toxanomy
Taxonomy Code 314000000X
License State South Dakota
License Number 10704
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According to our database, Prairie Lakes Healthcare NPI is 1073543450, taxonomy code is 314000000X and license number is 10704, license state is located at South Dakota. Prairie Lakes Healthcare physically located at 415 4th Ave Ne, Watertown SD, 57201-2614. NPI Number 1033115704 has the healthcare provider type.

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1073543450 NPI number is provided on an as is basis without warranty of any kind. 1073543450 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie Lakes Healthcare are for informational purposes only.