Edgewood Watertown Mc 2 LLC
NPI #1326516501 in Watertown, South Dakota
Provider Information
- NPI Number
- 1326516501
- Entity Type
- Organization
- Organization Name
- Edgewood Watertown Mc 2 LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EDGEWOOD OPCO LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 6, 2018
- Last Updated
- Nov 6, 2018
Practice Location
- Address
- 225 14 AVE NE
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201
- Phone
- (701) 757-5410
Authorized Official
- Name
- TRUDI L MOSTELLER
- Title
- REGIONAL CONTROLLER
- Phone
- (701) 757-5410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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