Edgewood Prairie Crossings Watertown Il LLC
NPI #1083089825 in Watertown, South Dakota
Provider Information
- NPI Number
- 1083089825
- Entity Type
- Organization
- Organization Name
- Edgewood Prairie Crossings Watertown Il LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 4, 2015
- Last Updated
- Dec 4, 2015
Practice Location
- Address
- 901 14TH AVE NE
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201-6817
- Phone
- (605) 882-3084
Authorized Official
- Name
- REX CARLSON
- Title
- TREASURER
- Phone
- (701) 757-5463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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