Watertown Sd Skilled Nursing Facility LLC
NPI #1366008427 in Watertown, South Dakota
Provider Information
- NPI Number
- 1366008427
- Entity Type
- Organization
- Organization Name
- Watertown Sd Skilled Nursing Facility LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 14, 2019
- Last Updated
- May 14, 2019
Practice Location
- Address
- 415 4TH AVE NE
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201-2614
- Phone
- (605) 886-8431
Authorized Official
- Name
- MENACHEM SHABAT
- Title
- COO/PRINCIPAL
- Phone
- (847) 679-9797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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