Prairie Villa

NPI #1508849761 in Armour, South Dakota

Provider Information

NPI Number
1508849761
Entity Type
Organization
Organization Name
Prairie Villa
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 22, 2005
Last Updated
Dec 6, 2011

Practice Location

Address
1309 BRADDOCK ST
City
Armour
ZIP Code
57313-2102
Phone
(605) 724-2159

Authorized Official

Name
HEATH BROUWER
Title
ADMINISTRATOR
Phone
(605) 724-2159

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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