Wisdom in Age LLC
NPI #1346495017 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1346495017
- Entity Type
- Organization
- Organization Name
- Wisdom in Age LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 23, 2008
- Last Updated
- Nov 23, 2008
Practice Location
- Address
- 3704 W MAIN ST
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-2139
- Phone
- (605) 721-9473
Authorized Official
- Name
- MS. VICKI L KENNEDY
- Title
- MANAGER
- Phone
- (605) 721-9473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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