Derosier INC
NPI #1114204096 in Spearfish, South Dakota
Provider Information
- NPI Number
- 1114204096
- Entity Type
- Organization
- Organization Name
- Derosier INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 7, 2011
- Last Updated
- Jan 17, 2012
Practice Location
- Address
- 905 S 34TH ST
- City
- Spearfish
- State
- South Dakota
- ZIP Code
- 57783-9449
- Phone
- (605) 642-0404
Authorized Official
- Name
- MRS. KIMBERLY JO DEROSIER, PT
- Title
- ADMINISTRATOR/OWNER
- Phone
- (605) 642-0404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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